| NPI | 1972806727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C CHOTKOWSKI Oral Surgeon 212-241-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NY 041723-1) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |