| NPI | 1023362449 |
|---|---|
| Other Name | MMC AT 182 EAST 210TH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Cjief Administrative Officer 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |