| NPI | 1316864283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY AUSTIN Dentist 718-344-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |