| NPI | 1437305380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACRENE RENEE ALEXIADES Physician Owner 917-263-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 212414) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-12-21 |