| NPI | 1154741049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C CHOTKOWSKI Owner 212-838-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 0417231) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |