| NPI | 1730256314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE C ZECCARDI Office Manager 516-248-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-06-14 |