| NPI | 1679228993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA PUGLISI Billing/Practice Manager 631-540-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |