| NPI | 1427556919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SCHAEFER Office Manager 212-582-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 035174) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |