| NPI | 1245651827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HALE Owner 917-414-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 215623) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |