| NPI | 1922265479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES PERROTTA President 631-689-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046607) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |