| NPI | 1588800759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH B. COOPERMAN Owner 212-233-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0469571) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |