NPI | 1578841672 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY ELIZABETH COSENZA Owner 631-287-8687 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 043391) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2011-07-25 |