| NPI | 1528118130 |
|---|---|
| Former Legal Business Name | SEGUNDO RUIZ BELVIS, FNCC |
| Entity Type | Organization |
| Authorized Contact | DOROTHY DONALDSON Senior Associate Executive Director 718-579-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 043822) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |