| NPI | 1639495732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SNEHAL P AMIN Member/Manager 212-661-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 222859) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NY 222859) |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: NY 222859) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: NY 222859) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-08-24 |