| NPI | 1790937910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J DRESDALE Physician 516-504-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 116929) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 150518) |
| 174400000X Specialist (Licence: NY 227230) | |
| 174400000X Specialist (Licence: NY 108705) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2011-01-06 |