| NPI | 1447553987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F DELUCA President 518-724-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 142157) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2024-09-27 |