| NPI | 1366698136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN POLLICK Oral Surgeon 631-289-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 042732) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |