| NPI | 1295950541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSER GEORGE HABEEB President 845-338-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 031560) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |