| NPI | 1376676791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GERSTMAN Partner 718-984-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044642) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 035591) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |