| NPI | 1396907549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FERTUCCI President 845-634-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047222) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |