| NPI | 1962793828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK C TALIERCIO Owner 914-949-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NY 152791) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |