| NPI | 1194922039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY J WEINER Office Manager 914-347-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 146474) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-08-14 |