Organization · Type 2 NPI
Advanced Dermatology of the Bronx PC
Specialist · Bronx, NY
NPI number
1477863876
Active
Practice location
291 E 149th St
Bronx, NY 10451-5601
Fax (212) 765-3210
Mailing address
200 Central Park S, Suite 107
New York, NY 10019-1436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1477863876
Advanced Dermatology of the Bronx PC's National Provider Identifier is 1477863876, issued on Oct 19, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Oct 19, 2010.