Upper West Side Dermatology Inc

NPI 1356504054 - Dermatology - 207N00000X

NPI Details
NPI 1356504054
Enumeration Date 07/03/2008
Last Updated 04/27/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA LISA
Position OWNER
Phone (212) 769-0069
Fax
Practice Location
211 CENTRAL PARK W
SUITE 1F
NEW YORK NY, 10024-6020, US
Phone (212) 769-0069
Fax
Business Location
211 CENTRAL PARK W
SUITE 1F
NEW YORK NY, 10024-6020, US
Phone (212) 769-0069
Fax
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 238877
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According to our database, Upper West Side Dermatology Inc NPI is 1356504054, taxonomy code is 207N00000X and license number is 238877, license state is located at New York. Upper West Side Dermatology Inc physically located at 211 Central Park W, New York NY, 10024-6020. NPI Number 1033115704 has the healthcare provider type.

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1356504054 NPI number is provided on an as is basis without warranty of any kind. 1356504054 is maintained by the National Plan & Provider Enumeration System. The contents of Upper West Side Dermatology Inc are for informational purposes only.