| NPI | 1912912320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH NMI MADOFF President 845-561-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 024995) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |