| NPI | 1619247848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE A COSCIA President/Owner 1516-792-6952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50052228-1) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |