| NPI | 1841738960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMO V DE STENO Associate Dean 212-998-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 000075-1) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |