| NPI | 1932238649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN H BREGMAN President 315-788-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 024841) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 044613) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-08-11 |