| NPI | 1932298940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ANTHONY PASSARIELLO President 718-979-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 027911) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |