| NPI | 1093981466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J DOHERTY President 914-948-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 028025) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |