| NPI | 1558365585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY LINDENBAUM Owner 631-924-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 29649) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 29544) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |