| NPI | 1285501072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BASSIRI-TEHRANI Owner 212-540-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-11-27 |