| NPI | 1548771645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LAUREN BERMAN Office Manager 646-863-3429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 043829) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |