| NPI | 1972242816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARCUS Dentist/Partner 917-318-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |