| NPI | 1578890414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA GELMAN Receptionist 718-769-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044329) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2013-08-07 |