Organization · Type 2 NPI

1091 Southern BLVD Dermatology PLLC

Dermatology Physician · Bronx, NY

NPI number 1154004133 Active

Practice location

1091 Southern Blvd
Bronx, NY 10459-2417

Call (718) 401-7000 Map

Fax (917) 473-7878

Mailing address

4037 74th St
Elmhurst, NY 11373-5603

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1154004133

1091 Southern BLVD Dermatology PLLC's National Provider Identifier is 1154004133, issued on Aug 8, 2023. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bronx, NY. The record was last updated on Aug 8, 2023.