| NPI | 1265869077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP FRIED Owner 914-949-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 160340) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |