| NPI | 1033354543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M SIRECI President 718-829-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 036511) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |