| NPI | 1316116155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L KLEIN Officer 718-891-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 32599) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 32599) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2022-07-21 |