| NPI | 1902959893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. SERURE CEO 631-271-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 146291-1) | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-02-11 |