| NPI | 1609018985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN CARRERO Practice Administrator 212-822-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 156839) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-01-11 |