| NPI | 1386015113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J COHEN Owner 516-735-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040701-1) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |