| NPI | 1386811933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K EMANUEL Orthodontist President Of Professio 718-336-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 30399) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |