Organization
SOHO SKIN AND LASER DERMATOLOGY PC
Active
Organization
SOHO SKIN AND LASER DERMATOLOGY PC
Active
Other names
SOHO SKIN & LASER DERMATOLOGY, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON SAMAHA M.D. (CEO)
(973) 571-2121
Entity
Organization
Contact information
Practice address
197 GRAND ST STE 3E, NEW YORK, NY 10013-3859
(212) 431-7600
(212) 431-7521
Mailing address
347 MOUNT PLEASANT AVE STE 205, WEST ORANGE, NJ 07052-2749
(973) 571-2121
(973) 498-0569
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
NY165531
NY
Other
Enumeration date
03/03/2006
Last updated
07/21/2022
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