| NPI | 1427382563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM S BRISMAN Owner 212-348-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 047259) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |