Urban Dermatology Pllc

NPI 1477650174 - Dermatology - 207N00000X

NPI Details
NPI 1477650174
Enumeration Date 09/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELIZABETH ELIZABETH
Position MANAGING PARTNER
Phone (212) 219-8012
Fax (212) 966-5099
Practice Location
594 BROADWAY
SUITE 310
NEW YORK NY, 10012-3233, US
Phone (212) 219-8012
Fax (212) 966-5099
Business Location
594 BROADWAY
SUITE 310
NEW YORK NY, 10012-3233, US
Phone (212) 219-8012
Fax (212) 966-5099
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 218795
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According to our database, Urban Dermatology Pllc NPI is 1477650174, taxonomy code is 207N00000X and license number is 218795, license state is located at New York. Urban Dermatology Pllc physically located at 594 Broadway, New York NY, 10012-3233. NPI Number 1033115704 has the healthcare provider type.

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1477650174 NPI number is provided on an as is basis without warranty of any kind. 1477650174 is maintained by the National Plan & Provider Enumeration System. The contents of Urban Dermatology Pllc are for informational purposes only.