| NPI | 1700896743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT P BELTRANI Owner 845-454-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 176079-1) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 081970-1) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-10-12 |