| NPI | 1396281853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HERMAN President 212-582-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-10-16 |