| NPI | 1699287839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LASORSA Manager 212-982-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |