| NPI | 1982302964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AESHA CHAUDHRY Doctor 917-626-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-05-13 |