| NPI | 1487785077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS ZUSIN Owner/Dentist 212-877-7475 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-09-13 |