| NPI | 1609247014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LIN Receptionist 212-267-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 42324) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |