| NPI | 1629736509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA FARHADIAN Owner 516-846-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-10-03 |