| NPI | 1780554550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL HERSHMAN Oral Surgeon/Owner 718-382-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |