| NPI | 1194990119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SKINNER Employer 212-421-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046610) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |