| NPI | 1497943971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARSZALEK Systems Administrator / Manager 718-993-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 040638) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |