| NPI | 1063717361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIRAM D. SHMUELY Owner 516-771-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043525) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |