| NPI | 1972628410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FOX Md 518-346-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 134538-1) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 194229-1) |
| 208200000X Plastic Surgery (Licence: NY 230489-1) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-05-27 |