| NPI | 1578063988 |
|---|---|
| Doing Business As | FIFTH AVENUE AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MARIE V HAYAG Physician 212-722-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 220131) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2020-04-10 |