Organization
MANHATTAN DERMATOLOGIC HEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIROTE LAOCHUMROONVORAPONG MD (OWNER)
(212) 288-2536
Entity
Organization
Contact information
Practice address
1317 3RD AVE LOWR LEVEL, NEW YORK, NY 10021-2995
(212) 288-2536
(212) 288-3206
Mailing address
1317 3RD AVE LOWR LEVEL, NEW YORK, NY 10021-2995
(212) 288-2536
(212) 288-3206
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
214926
NY
Other
Enumeration date
07/31/2008
Last updated
09/30/2008
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