| NPI | 1790099844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA NUTSKOVSKY President 845-352-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049884) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2010-07-31 |