| NPI | 1295800324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAN REDDY President 516-285-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0436721) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |