| NPI | 1023306172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRUS F LOGHMANEE President 631-878-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA08921100) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2012-10-15 |