| NPI | 1134508328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOEL TUNICK Partner 212-246-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 031243-1) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |