| NPI | 1710668843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT ZHARNITSKY Owner 516-659-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |