| NPI | 1295996585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FERTUCCI President 914-245-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047222) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |