Aesthetic MD of NY

NPI #1962857987 in Southampton, New York

Provider Information

NPI Number: 1962857987
Entity Type: Organization
Organization Name: Aesthetic MD of NY
Primary Specialty: Specialist
Enumeration Date: Apr 27, 2016
Last Updated: Apr 27, 2016

Practice Location

Address: 61 MAIN ST
Address 2: 2ND FLOOR
City: Southampton
State: New York
ZIP Code: 11968-4870
Phone: (631) 669-2883

Authorized Official

Name: DR. RONIT ADLER, MD
Title: OWNER
Phone: (631) 669-2883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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