| NPI | 1396940490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY OSINSKI President 315-446-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 033619) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |