| NPI | 1780804344 |
|---|---|
| Other Name | FACULTY PRACTICE SOUTH |
| Entity Type | Organization |
| Authorized Contact | ROBERT S GLICKMAN Assoc Dean Clinical Affairs 212-443-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 021314-2) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-04-16 |