| NPI | 1114325255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIYA YELSKAYA Dds 718-676-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NY 050051) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |