| NPI | 1043378680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRIEDMAN Member 718-746-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 034366) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |