| NPI | 1215319124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYER HERSH NOSKOW Sole Member 845-454-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055623) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-10-05 |