| NPI | 1831497007 |
|---|---|
| Doing Business As | SUNY DMC@LICH-PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARILYN VIENTOS - SOTIRIADIS COO 718-270-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2013-04-04 |