| NPI | 1881918712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASSOS KATECHIS Owner 516-944-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 052953) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 049624) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |