| NPI | 1023063906 |
|---|---|
| Doing Business As | EASTSIDE DERMATOLOGY SERVICES PC |
| Doing Business As | LASER & SKIN SURGERY CENTER OF NEW YORK |
| Former Legal Business Name | DR. R. G. GERONEMUS, M.D., P.C. |
| Entity Type | Organization |
| Authorized Contact | ROY G GERONEMUS Director 212-686-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-04-11 |