| NPI | 1598906836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME COHEN Pres Owner 516-731-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 027436-1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 030384-1) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |