| NPI | 1962553370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STUART FLEISCHER Owner 516-826-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 039481) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-08-22 |