| NPI | 1679879746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB KLIVANSKY Practice Administrator 516-466-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 169340-1) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |