| NPI | 1326270836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HELLER Owner 212-245-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 136938) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 127969) |
| 207N00000X Dermatology (Licence: NY 233858) | |
| 208200000X Plastic Surgery (Licence: NY 215947) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |