| NPI | 1164544367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. BRISKIN President 914-693-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 034344) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |