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 |