| NPI | 1982777959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA PODLUBNY President 212-234-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 0474431) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |