| NPI | 1073692984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WOLOSZYN Md 718-283-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: NY 182400) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |