| NPI | 1679684732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WIENER Owner 845-226-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047467-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-11-20 |