| NPI | 1275922213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CHALY President 845-634-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 054406) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 056316) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 053040) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 054583) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |