| NPI | 1285142794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANA LIANG-LEE Executive Of Estate 212-233-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |