| NPI | 1467882332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEKATERINA KLEYDMAN CEO 646-388-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 254386) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |