| NPI | 1053582106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARONE RACHAL MARCUS Practice Manager 917-968-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 036193) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 051014) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |