| NPI | 1093807166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD J BERMAN President 212-888-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 032561) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-05-30 |