| NPI | 1588774699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE PEHREE MELENDEZ Office Manger 212-685-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 047779) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |