| NPI | 1841578523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM L COSENTINO Dentist 718-271-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 038773) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |