| NPI | 1730559477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE PAULA IPPOLITO-FATA Dentist 718-329-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 043215) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 043215) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-28 |