| NPI | 1447650643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J WEISS President 516-849-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 043555) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |