| NPI | 1225237886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH SLEAR Vice President 516-822-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207W00000X Ophthalmology (Licence: NY 240262) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-11-02 |