Organization · Type 2 NPI

Advanced Dermatology of Coop City PC

Specialist · Bronx, NY

NPI number 1811207210 Active

Practice location

2100 Bartow Ave, Suite 211
Bronx, NY 10475-4614

Fax (212) 765-3210

Mailing address

200 Central Park S, Suite 107
New York, NY 10019-1436

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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 1811207210

Advanced Dermatology of Coop City PC's National Provider Identifier is 1811207210, 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.