| NPI | 1730329301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARK BRODY President 914-253-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 03318) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2010-02-24 |