| NPI | 1821228164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T MORMINO Dentist 718-761-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 042434) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |