| NPI | 1073107314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H THORNE Owner 212-794-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2023-04-03 |