| NPI | 1962444216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A. NASSO President 718-948-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 34314) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-12-03 |