| NPI | 1205168499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD PATHY Md 718-672-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 045607) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2011-07-19 |