| NPI | 1467721662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D SCHWARTZ Owner 518-374-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 032763) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2024-09-13 |