| NPI | 1992785117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ORBUCH Partner 516-731-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2013-09-19 |