| NPI | 1457721862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYA BRODSKY Sole Practitioner 212-721-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 056849) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |