| NPI | 1548508963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRICK E. ANTELL President 212-988-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 161860) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |