| NPI | 1346395571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROSEN Preisdent 917-349-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039061) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-01-12 |