| NPI | 1821125956 |
|---|---|
| Former Legal Business Name | CENTER FOR AESTHETIC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SKLAR Owner 516-496-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-05-13 |