| NPI | 1346382579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN BECKFORD Office Manager 212-980-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 049501-1) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |