| NPI | 1780694687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CAMBRIA Secretary 212-213-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 045786) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 045075) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |