| NPI | 1851427199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GREGORY SHYKNEVSKY President 718-339-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047193) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |