| NPI | 1902028046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH I KAMDAR President 212-594-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 031739) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 049431) |
| 1223P0300X Dentist, Periodontics (Licence: NY 034207) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 046794) | |
| 124Q00000X Dental Hygienist (Licence: NY 0200851) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |