NPI | 1235273202 |
---|---|
Other Name | BFFY- DEFALCO DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | DONNA CORRADO Chief Operating Officer 718-722-6123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-08-22 |