| NPI | 1053771162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CHARLES CHOTKOWSKI President 212-980-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 041723) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |