Provider First Line Business Practice Location Address:
145 W 86TH ST. #1A
Provider Second Line Business Practice Location Address:
ADVANCED DERMATOLOGY, PC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-601-9401
Provider Business Practice Location Address Fax Number:
212-787-3078
Provider Enumeration Date:
03/07/2015