| NPI | 1679992457 |
|---|---|
| Doing Business As | WALL STREET DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JULIA TZU Medical Director 212-931-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 256102) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 256102) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 256012) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 256102) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-07-23 |