| NPI | 1306268354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL RICHARD MCGOWAN President/CEO 516-520-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 034177) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |