| NPI | 1205066412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S NADOLNE Manager 212-206-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047883) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2015-12-08 |