| NPI | 1255334017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALOMBARO Vice President 607-724-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0384251) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |