Provider First Line Business Practice Location Address:
DEPARTMENT OF DERMATOLOGY, 5 E. 98TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-9768
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2021