| NPI | 1861642076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PANAGOPOULOS Office Manager 718-224-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NY 032322) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NY 047274) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |