| NPI | 1932355732 |
|---|---|
| Doing Business As | NEW YORK DERMATOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | NANCY FONSECA Claims Manager 646-442-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |