| NPI | 1932524188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA GIANNATTASIO Office Manager 845-638-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 029366) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |