| NPI | 1508908997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA KUSHNIR President 1718-722-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047749) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |