| NPI | 1265763684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY N CHASE President 631-456-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032187) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |