| NPI | 1306088505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE FARRELL Director Coding 845-634-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: NY 028000-1) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |