| NPI | 1225362783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L FOX Medical Director 516-326-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA04771900) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |