| NPI | 1649320466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY GLICKER Chief Excutive Officer 516-775-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 028331-1) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |