| NPI | 1982082327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN MILGRAM President 718-339-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 044484) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 052813) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |