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Organization

MODERN DERMATOLOGY PLLC

Active
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Organization

MODERN DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN FREW M.D. (OWNER)
(212) 379-6477
Entity
Organization

Contact information

Practice address
37 E 30TH ST, NEW YORK, NY 10016-7313
(212) 379-6477
Mailing address
35 E 30TH ST APT 1A, NEW YORK, NY 10016-7308
(212) 379-6477

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
236599
NY

Other

Enumeration date
04/22/2013
Last updated
06/08/2023
About Stedi
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