| NPI | 1447471560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNY CRISCUOLI Billing 516-512-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 214852) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-09-13 |