| NPI | 1275870719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H SUKOFF Orthodontist 516-868-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050689) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |