| NPI | 1710150065 |
|---|---|
| Other Name | PC |
| Entity Type | Organization |
| Authorized Contact | LEONARD F MEDRANO President 718-492-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 046955) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |