| NPI | 1528201613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET C BODEY Oral And Maxillofacial Surgeon 212-567-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NY 054241) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2019-08-12 |