| NPI | 1962553446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONI KOWALEWSKI Office Manager 718-417-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 046206) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-08-22 |