| NPI | 1689904211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER MALKIN CEO 917-815-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 212519) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NY 212519) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 212519) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |