| NPI | 1790542660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KIWANUKA Plastic Surgeron 917-369-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |