| NPI | 1497054647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SHICK Dentist 212-749-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 050025) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053415) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-03-26 |