# COMMUNITY MEDICAL &DERMATOLOGY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265422679
- **Authorized official:** LAWRENCE D JAEGER D.O. (PRESIDENT)
- **Authorized official phone:** (212) 262-2500

## Contact information

- **Practice address:** 200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019-1436
- **Practice address phone:** (212) 262-2500
- **Practice address fax:** (212) 246-0890
- **Mailing address:** 291 E 149TH ST, BRONX, NY 10451-5601
- **Mailing address phone:** (718) 742-6014
- **Mailing address fax:** (212) 246-0890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 08/22/2020