| NPI | 1982931804 |
|---|---|
| Doing Business As | PEDIATRIC DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LEONARD KRISTAL President 516-352-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |