| NPI | 1013121409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENICO VALENTE Owner 516-433-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-06-18 |