| NPI | 1598631699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SULLIVAN Owner/CEO 203-304-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |