| NPI | 1184834202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AYOUB Orthodontist 212-595-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051936) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |