| NPI | 1548485022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ROSEN Vice Pres 212-753-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 21605 Rosen) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 5875060 Deutch) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-05-13 |