| NPI | 1396140679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA M CHUBAK Endodontist 212-737-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 056087) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 057585) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2016-01-31 |