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1154004133
1091 SOUTHERN BLVD DERMATOLOGY PLLC
BRONX, NY
NPI
1154004133
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Entity Type
Organization
Authorized Contact
WENDY SANCHEZ
Office Manager
347-642-9802
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
1091 SOUTHERN BLVD DERMATOLOGY PLLC
1091 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-401-7000
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Mailing Address
1091 SOUTHERN BLVD DERMATOLOGY PLLC
4037 74TH ST
ELMHURST, NY 11373-5603
Phone number: 347-642-9802
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