| NPI | 1306119938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS J FEDER Owner/ President 718-851-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 026920) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |