Organization · Type 2 NPI

Mack Dermatology, P.c.

Specialist · New York, NY

NPI number 1720485808 Active

Practice location

130 E 18th St, Suite 1U
New York, NY 10003-2416

Call (917) 912-3615 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X245368 (NY)

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 1720485808

Mack Dermatology, P.c.'s National Provider Identifier is 1720485808, issued on Dec 4, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Dec 4, 2014.