| NPI | 1801962436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHERNOMERDIK President 718-972-1644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038264) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-09-06 |