| NPI | 1427216472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M ANDREWS Receptionist 718-327-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NY 26221) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NY 040873) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |