| NPI | 1114948312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L SHULMAN President 516-932-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 044044) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 044044) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |