| NPI | 1265618532 |
|---|---|
| Doing Business As | BROOKLYN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SOURAB PATRICK CHOUDHURY President 718-797-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 226018) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 226018) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 226018) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2016-11-01 |