Upper West Side Dermatology, P.c.

NPI 1427270727 - Dermatology - 207N00000X

NPI Details
NPI 1427270727
Enumeration Date 05/03/2007
Last Updated 07/02/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA LISA
Position SOLE OWNER
Phone (212) 769-0069
Fax (212) 769-0075
Practice Location
115 CENTRAL PARK WEST
SUITE #1
NEW YORK NY, 10023-4142, US
Phone (212) 769-0069
Fax (212) 769-0075
Business Location
115 CENTRAL PARK WEST
SUITE #1
NEW YORK NY, 10023-4142, 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, P.c. NPI is 1427270727, taxonomy code is 207N00000X and license number is 238877, license state is located at New York. Upper West Side Dermatology, P.c. physically located at 115 Central Park West, New York NY, 10023-4142. NPI Number 1033115704 has the healthcare provider type.

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1427270727 NPI number is provided on an as is basis without warranty of any kind. 1427270727 is maintained by the National Plan & Provider Enumeration System. The contents of Upper West Side Dermatology, P.c. are for informational purposes only.