| NPI | 1548645260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD AGAG Owner 917-716-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 245976) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |