| NPI | 1861738460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOLA OLUFUNMI DELE-MICHAEL Owner 212-229-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 256265) |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2024-03-04 |