| NPI | 1013216910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DANTE BONANNO President 212-570-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 123028) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |