| NPI | 1235475989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART GRABER Managing Dentist 914-481-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 0564181) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 030324) |
| 122300000X Dentist (Licence: NY 0561931) | |
| 122300000X Dentist (Licence: NY 0554981) | |
| 122300000X Dentist (Licence: NY 0513121) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 0518851) | |
| 1223P0700X Dentist, Prosthodontics (Licence: NY 0451461) | |
| 124Q00000X Dental Hygienist (Licence: NY 339246134) | |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |