| NPI | 1811265010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BERNARD CINSKI Member 631-981-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 029360) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2020-02-04 |