| NPI | 1861170284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HIRSCHEL Director Of Operations 917-696-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |