| NPI | 1366036782 |
|---|---|
| Doing Business As | AEON AESTHETICS & GYNECOLOGY |
| Doing Business As | AEON AESTHETICS GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | GALO BURBANO Owner 631-923-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |