| NPI | 1427211853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFAN GARY CHEVALIER Owner/President 845-703-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 211120-1) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2017-03-07 |