| NPI | 1134326671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY J WEINER Office Manager 516-239-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: 196509) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2008-04-25 |