| NPI | 1467603340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S. LEVINE Owner 518-584-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 38704) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |