| NPI | 1740438258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL VITAGLIANO President 631-661-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 046229-1) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |