| NPI | 1225396682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA DANIEL CEKADA Owner 631-598-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 049684) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-05-18 |