| NPI | 1265808331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY MARKOVITCH Owner 914-737-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-11-19 |