| NPI | 1205912813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABIA MIR Director 718-780-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |