| NPI | 1942669387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY SHNAYDER Owner 718-702-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 055345) |
| Enumeration Date | 2016-02-13 |
| Last Update Date | 2016-02-13 |