| NPI | 1619107950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HOLLANDER Manager 718-436-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038986) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |