| NPI | 1366513194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL J. BLOOM President 212-327-3623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 045016) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-07-30 |