| NPI | 1528135639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE LOTARDO President 631-724-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043230) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 043229) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |