Organization
GOLDEN AGE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE LICHTENSTEIN (DIRECTOR)
(212) 734-6621
Entity
Organization
Contact information
Practice address
345 E 37TH ST, 301, NEW YORK, NY 10016-3256
(212) 734-6621
Mailing address
250 SKILLMAN ST STE 202, BROOKLYN, NY 11205-1218
(212) 734-6621
(516) 430-5031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
01/19/2023
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