| NPI | 1346364296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART LAWRENCE SEGELNICK President 718-743-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 044106) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |