| NPI | 1912378829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLA ZAYTSEVA Office Manager 212-452-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME 124679) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2025-06-23 |