NPI | 1538206594 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS EDWARD NICOSIA Owner 585-442-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 041552) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |