| NPI | 1164565636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA YAPPORT President 718-439-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 045521) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |