| NPI | 1568997237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN ABRAHAMS Dentist 917-710-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 054044) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |