| NPI | 1427343391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE J VERGILIS-KALNER President 917-531-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NY 256563) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2015-05-06 |