| NPI | 1598225260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LASORSA Manager 212-982-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-06-11 |