| NPI | 1376939868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY SCHNEBEL Member/Manager 914-732-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 055593) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-08-18 |