| NPI | 1902343874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MANISCALCO Owner 718-745-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 50-050579) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 50-050579) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |