| NPI | 1225364425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZRA TRACHTENBERG President 718-237-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039086) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |