| NPI | 1508067463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE ELAINE ROSENBERG Vice President 516-295-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207ND0900X Dermatology, Dermatopathology | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-03-30 |