| NPI | 1285920140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE ANN HERRMANN Doctor 516-378-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126900000X Dental Laboratory Technician (Licence: NY 043015) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |