| NPI | 1649975244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN LAFFERTY Office Manager 212-679-9688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-04-17 |