| NPI | 1871921387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENICO VALENTE Owner 516-433-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |