| NPI | 1821484999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN TODD GREENBERG Owner 516-354-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-04-24 |