| NPI | 1881955623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL J MANDEL President 212-570-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 184691) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 184691) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 184691) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 184691) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 184691) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-02-05 |