| NPI | 1528269537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALIA VEITZ-KEENAN Vice President 718-934-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 048459) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 047823) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |