| NPI | 1033580220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO OSTUNI Owner, Surgeon 917-769-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 053803) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |