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 |