| NPI | 1457430217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDMILA LUKOVSKY President 718-826-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 045130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 045473) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |