| NPI | 1093910192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED BREZEL Physician 718-418-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 162847) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |