| NPI | 1265602874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT REINER Executive Director 631-632-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 031804-1) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 043965-1) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |