| NPI | 1760717292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANK DIBERNARDO President 516-446-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 051799) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |