| NPI | 1215096375 |
|---|---|
| Doing Business As | FAMILY DERMATOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAWRENCE NELSON President 914-251-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 222467) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-05-09 |