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1306224001
57 WEST DERMATOLOGY LLC
NEW YORK, NY
NPI
1306224001
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Entity Type
Organization
Authorized Contact
ALAN TODD GLASS
Owner
516-297-2691
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NY 196509)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
57 WEST DERMATOLOGY LLC
57 W 57TH ST SUITE 1109
NEW YORK, NY 10019-2802
Phone number: 516-297-2691
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Mailing Address
57 WEST DERMATOLOGY LLC
57 W 57TH ST SUITE 1109
NEW YORK, NY 10019-2802
Phone number: 516-297-2691
Copy
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