| NPI | 1730402124 |
|---|---|
| Former Legal Business Name | WEST ISLIP ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN E. SCHECTER Owner 631-661-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2016-11-01 |