| NPI | 1568608248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHEAL DEVITA Senior Partner 516-869-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 031697) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |