| NPI | 1427389758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ROBERT SIROTA Do/President 516-791-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 203715) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |