| NPI | 1912426735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC EVERETT Co Founder 516-673-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-10-10 |