| NPI | 1376664219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDCAI BLAU Plastic Surgeon 914-427-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 135936-1) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |