| NPI | 1780391276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI RASHAN Cmo 646-249-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2024-12-09 |