NPI | 1518206366 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD GOLDBERG Bookkeeper 516-810-0561 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2013-02-13 |
Last Update Date | 2023-07-15 |