| NPI | 1427220540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT BEATUS President 718-823-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039769) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2012-01-21 |