| NPI | 1154436855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ERRANTE Senior Assoc Dean Of Clinical Serv 212-342-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-08-25 |