| NPI | 1578649273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS J CULLEN Owner 518-482-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 186505) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-07-22 |