Organization
FACULTY DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN SAFAI M.D. (DIRECTOR)
(212) 988-8918
Entity
Organization
Contact information
Practice address
6903 4TH AVE, BROOKLYN, NY 11209-1509
(718) 238-6161
(718) 238-6194
Mailing address
340 E 64TH ST, NEW YORK, NY 10065-7503
(212) 988-8918
(212) 744-6108
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
113002
NY
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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