| NPI | 1801878285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAISA SHEKHTMEYSTER President 718-832-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044191) |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2012-06-29 |