| NPI | 1104082023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS ANTHONY PASTENA President 845-278-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 121096) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-10-14 |