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 |