| NPI | 1831360684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA LADYZHENSKAYA President 718-714-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049190) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |