| NPI | 1568897809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GUTIERREZ Office Manager 212-588-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 1415593) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |