| NPI | 1972910255 |
|---|---|
| Doing Business As | AUSTIN STREET ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ALICIA A PITKOUVICH Manager 917-391-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 054245) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-20 |