| NPI | 1306046289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA GINSBURG Partner 516-867-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 041672) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 044219) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |