| NPI | 1528233772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W KELLY Orthodontist 845-357-0200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0516191) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2016-02-23 |