| NPI | 1760859862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT KOTLUS Owner/Physician 212-882-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NY 231319) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 231319) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |