| NPI | 1760733570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANFORD SCHIMMEL Partner 718-548-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 24184) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 050286) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |