| NPI | 1750775300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL YOO Medical Director/Plastic Surgeon 631-384-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A95823) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A95823) |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2015-05-27 |