| NPI | 1730136342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MYRUTH NICHOLS Managing Director 646-526-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 60-239556) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-01-09 |