| NPI | 1346601333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLIN PENROSE Dermatologist 917-620-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 245597-1) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-06-28 |