| NPI | 1427145846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BARRY MANSON Dentist 718-729-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 038492) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |