Advanced Dermatology of New York PC
Advanced Dermatology of New York PC provides Dermatology Physician services in Bronx, New York. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
291 E 149th StBronx, NY 10451-5601 Not confirmed with CMS for 11 years — call before visiting
Phone: (718) 742-1000
Fax: (212) 765-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1508048240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lawrence Jaeger — Officer · (212) 262-2500 |
| Other names | Advanced Dermatology Associates |
| NPI enumerated | December 5, 2007 |
| Last updated in NPPES | December 10, 2014 |
| Mailing address | 200 Central Park S, Suite 107, New York, NY 10019-1436 |
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