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1184068017
MODERN DERMATOLOGY PLLC
NEW YORK, NY
NPI
1184068017
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Entity Type
Organization
Authorized Contact
KATHRYN FREW
Owner
212-379-6477
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 236599)
Enumeration Date
2013-04-22
Last Update Date
2023-06-08
Business Address
MODERN DERMATOLOGY PLLC
37 E 30TH ST
NEW YORK, NY 10016-7313
Phone number: 212-379-6477
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Mailing Address
MODERN DERMATOLOGY PLLC
35 E 30TH ST APT 1A
NEW YORK, NY 10016-7308
Phone number: 212-379-6477
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