| NPI | 1790143402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERI-LYNN WALDMAN President 845-458-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049399) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |