| NPI | 1255497269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER NICOLAIDES President 718-728-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 212075) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-05-08 |