| NPI | 1295953248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM D SCHNEIDER Dentist 518-758-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 045388) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |