Organization
SKINWORKS DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER ZELAYA MD (PRESIDENT)
(212) 807-1866
Entity
Organization
Contact information
Practice address
136 W 17TH ST, NEW YORK, NY 10011-5402
(212) 807-1866
(212) 807-1869
Mailing address
136 W 17TH ST, NEW YORK, NY 10011-5402
(212) 807-1866
(212) 807-1869
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
187832
NY
Other
Enumeration date
03/13/2007
Last updated
11/18/2008
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