| NPI | 1952610354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SLOBODSKI Owner 718-684-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 042886) |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2019-06-11 |