| NPI | 1104036946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY COHEN General Counsel 347-688-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 36943) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-06-12 |