| NPI | 1578058202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. BRISMAN President 914-238-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 039826) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |