NPI | 1588248223 |
---|---|
Doing Business As | KALON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | JOSEPH IWANICKI Practice Admin 917-855-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-06-15 |