| NPI | 1962583492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LONDON HALPERN President 516-621-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |