Organization
PLASTIC SURGERY AND DERMATOLOGY OF NYC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIE LEVINE M.D. (CO-DIRECTOR)
(212) 628-6575
Entity
Organization
Contact information
Practice address
35 E 84TH ST, SUITE 1C, NEW YORK, NY 10028-0871
(212) 628-6575
Mailing address
35 E 84TH ST, SUITE 1C, NEW YORK, NY 10028-0871
(212) 628-6575
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
222303
NY
208000000X
Pediatrics Physician
222303
NY
208200000X
Plastic Surgery Physician
222652
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
222652
NY
Other
Enumeration date
04/19/2007
Last updated
03/15/2018
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