Individual
MOLLY A WANNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON,IRVING PAVILLION FL, COLUMBIA UNIV. MEDICAL CENTER, NEW YORK, NY 10032
(212) 342-2988
Mailing address
527 W 110TH ST, APT. NO. 94, NEW YORK, NY 10025-2081
(212) 342-2988
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
227172
MA
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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