NPI | 1679620769 |
---|---|
Doing Business As | JUVA SKIN AND LASER CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE KATZ Director 212-688-5882 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 134724-1) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 134724-1) |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NY 134724-1) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 134724-1) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: NY 134724-1) | |
208200000X Plastic Surgery (Licence: NY 141259-1) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2023-07-26 |