| NPI | 1750489563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S NADOLNE Partner 212-867-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 050453) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 047883-1) |
| 1223E0200X Dentist, Endodontics (Licence: NY 048686) | |
| 122300000X Dentist (Licence: NY 052345-1) | |
| 122300000X Dentist (Licence: NY 051796-1) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 040690) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 044327) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |