| NPI | 1558668665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BROWER Office Manager 718-748-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 030065) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |