| NPI | 1740570738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMA PRAFUL PATEL President 718-200-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 255682-1) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-03-31 |