| NPI | 1891967980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA PROKOPETS Manager 718-265-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049867) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |