| NPI | 1508866039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL A HATCHER Dermatologist 212-675-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 138498) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2020-08-22 |