| NPI | 1467596627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COVEN AUERBACH Owner 516-466-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 30791) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NY 36475) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2014-09-10 |