| NPI | 1437702917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL F ERN Owner 845-363-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-04-07 |