Organization
LASER & MOHS SURGERY OF NEW YORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELLE T QUINTANA M.D. (OWNER)
(212) 391-8600
Entity
Organization
Contact information
Practice address
130 W 42ND ST STE 1805, NEW YORK, NY 10036-7902
(212) 391-8600
(212) 391-8601
Mailing address
130 W 42ND ST STE 1805, NEW YORK, NY 10036-7902
(212) 391-8600
(212) 391-8601
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
207656
NY
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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