| NPI | 1861727786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE M UVINO Ofiice Manager 516-681-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 021197) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |