| NPI | 1740386598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMJAD J NESHEIWAT Dentist/Owner 845-221-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-09-11 |