JEROME L. SHUPACK, MD PC

NEW YORK, NY
NPI1538479217
Entity TypeOrganization
Authorized ContactJEROME LEONARD SHUPACK
President
212-263-7344
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NY  092742)
Enumeration Date2010-10-15
Last Update Date2010-10-15
Business Address
JEROME L. SHUPACK, MD PC
530 1ST AVE # 7F
NEW YORK, NY 10016-6402
Phone number: 212-263-7344
Mailing Address
JEROME L. SHUPACK, MD PC
530 1ST AVE # 7F
NEW YORK, NY 10016-6402
Phone number: 212-263-7344