| NPI | 1134825961 |
|---|---|
| Doing Business As | BADASS SKIN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUBIO CEO 646-493-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |