| NPI | 1215448006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GALLAGHER Practice Manager 845-459-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |