| NPI | 1053651125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY STEVEN GARREL Owner/Partner 718-435-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 040603) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 047667) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |