| NPI | 1922270016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY VOLFINZON Dentist 718-375-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 045255) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |