| NPI | 1225288004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL T. GLUCK President 516-352-2445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 021878) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |