| NPI | 1659884104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB FRIEDMAN Officer 845-238-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 301359) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |