| NPI | 1851776660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK M CONGIUSTA Dentist 718-836-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 0384741) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |