| NPI | 1336250786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAWRENCE ELIAS Oral Surgeon 212-737-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 048741) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 032864) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 026914) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |