NPI | 1639880677 |
---|---|
Entity Type | Organization |
Authorized Contact | IRINA DOMANTOVSKY President 917-387-7834 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2022-12-12 |
Last Update Date | 2024-07-09 |