| NPI | 1942599972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI JOY LEVINE Medical Director 646-490-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 147719-1) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2012-12-20 |