NPI | 1306361696 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT STEVEN GOLDBERGER President 718-638-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 036742) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2017-08-08 |