| NPI | 1629459763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J. SCIORTINO President/Owner 718-748-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 032913-1) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-19 |