| NPI | 1679237440 |
|---|---|
| Doing Business As | AMPD NORTHPORT |
| Entity Type | Organization |
| Authorized Contact | ADAM POSTEL Pediatric Dentist 631-360-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |