| NPI | 1053345280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J. BERAN Owner 914-761-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 215759-2) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |