| NPI | 1881387561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MORDECCAI ELNEKAVEH Owner 516-603-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |