| NPI | 1053570556 |
|---|---|
| Doing Business As | BAY RIDGE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | EVANGELINE PEREZ President 347-497-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 222603) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |