| NPI | 1912913500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA REYZELMAN Dentist 212-719-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049041) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-08-16 |