| NPI | 1104818566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY M CHOIT VP/Sec 516-579-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 034155) |
| Enumeration Date | 2005-08-21 |
| Last Update Date | 2020-08-22 |