| NPI | 1316331077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY GREENFIELD Owner 516-486-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 41612) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 035128) |
| 1223E0200X Dentist, Endodontics (Licence: NY 040521) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-07-20 |