| NPI | 1740738798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS H VARDY President 212-579-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 043539) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |