NPI | 1992127765 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH BRUCE COOPERMAN Secretary 646-221-8944 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 046957) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2014-01-14 |