| NPI | 1184665986 |
|---|---|
| Other Name | BOTSFORD DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESLEY WILLBRANDT Director Shared Services 947-522-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-08-16 |