| NPI | 1245359272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BRYAN RICHICHI Office Manager 516-785-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 029212) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-10-01 |