| NPI | 1093899791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M SHELTON Director 212-593-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |