| NPI | 1902099351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HACKETT A VP 212-256-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2012-02-02 |