| NPI | 1053305805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HOWARD HIRSCH Owner Oral Surgeon 516-735-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: NY 030187) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-07-10 |