| NPI | 1184739799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA KHROM President 646-479-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 227196) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 227196) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 227196) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-02-24 |