| NPI | 1750410759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MANN Biller 914-774-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 182268) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 182268) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-07-24 |