| NPI | 1770955205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM PISARENKO Co Owner 914-771-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |