| NPI | 1093068611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M WEISSMAN Provider 718-853-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2016-06-27 |