| NPI | 1073668745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JAY BRESIN President 518-482-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032600) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |