| NPI | 1740483098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F MERCURIO President 631-226-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 033898-1) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |