| NPI | 1205844768 |
|---|---|
| Doing Business As | LICH PLASTIC AND RECONSTRUCTION |
| Entity Type | Organization |
| Authorized Contact | DEBORAH HACKETT Managing Employee 212-256-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-11-05 |