| NPI | 1639273931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HEIFITZ The Owner 718-294-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047130-1) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-08-10 |