| NPI | 1790149235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN ANN PEREZ Assistant Office Manager 914-472-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |