| NPI | 1003349986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEJAS PATEL President 929-200-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 282042-) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 282042-1) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2019-08-27 |