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 |