| NPI | 1629334370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEYLIKMAN President 718-646-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050146) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |