NPI | 1780086678 |
---|---|
Other Name | DERMGROUPNYC |
Entity Type | Organization |
Authorized Contact | OMAR TORRES Medical Director 212-673-5633 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 018002) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-09-23 |