| NPI | 1063717338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJAN SAFAI Director 212-988-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 113002) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |