| NPI | 1235410549 |
|---|---|
| Doing Business As | ATHENA PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | AVRON HERSCHEL LIPSCHITZ Doctor 772-324-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME108557) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-06-11 |