| NPI | 1356485338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HARVEY RUBIN Dentist 212-696-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 031972-3) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 032077-1) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |