| NPI | 1336369081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BONET Office Manager 212-753-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 36720) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 02976) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |