| NPI | 1316041924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA ADELMAN Billing Department 718-743-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 026852) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-12-21 |