| NPI | 1225201460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAN KAUFMAN Director 718-645-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 047862) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |