Organization
COSMETIC SURGERY AND DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR TORRES MD (PRESIDENT)
(212) 673-5633
Entity
Organization
Contact information
Practice address
117 E 18TH STREET, SUITE 1, NEW YORK, NY 10003-2113
(212) 673-5633
Mailing address
117 E 18TH ST FRNT 1, NEW YORK, NY 10003-2113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000696
MEDICARE GROUP
NY
Enumeration date
03/19/2008
Last updated
07/17/2023
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