| NPI | 1164509246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEHUDA DAVID ELIEZRI President 845-692-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 154268) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |