| NPI | 1679702740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE HAZAN President 516-365-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 243559) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 243559) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 243559) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-16 |