| NPI | 1003033457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE LEVINE Co Director 212-628-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 222303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 222303) |
| 208200000X Plastic Surgery (Licence: NY 222652) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 222652) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-15 |