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Contact Information

NY MOHS LASER DERMATOLOGY
345 E 37TH ST
#209
NEW YORK, NY10016-3256
 Phone: 646-490-7387
 Fax: 212-686-5842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NY MOHS LASER DERMATOLOGY

NPI # 1942599972
LBN Legal business name NY MOHS LASER DERMATOLOGY
Authorized official VICKI LEVINE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2011
Last updated 12/20/2012 - About 13 years ago
Identifiers
NY License # 147719-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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