NPI | 1366035248 |
---|---|
Doing Business As | KALON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | JOSEPH IWANICKI Practice Owner 917-855-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2021-02-11 |
Last Update Date | 2021-06-15 |