| NPI | 1609023738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LYLE ZATCOFF President 516-352-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 051010) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |