NPI | 1225271869 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH WOLF Md 718-672-2824 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 216232) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 216232) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2009-04-13 |