| NPI | 1265729842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID YAN President 718-672-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CT 047323) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2012-05-18 |