| NPI | 1073743928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANUBAL GOPALASWAMY Dentist 845-426-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 034889) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |