| NPI | 1760658033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS LIPPNER Administrator 516-326-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |