| NPI | 1750719464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SCANDARIATO Billing Manager 516-216-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 116131) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-28 |