| NPI | 1649417676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ALLYN SIROTA Vice President/ Co Owner 212-758-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: NY 048076-1) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: NY 034632) |
| 1223P0700X Dentist Prosthodontics (Licence: NY 022937) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |