Organization
TATIANA KHROM, M.D., P.C.
Active
Other names
Khrom Dermatology & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA KHROM M.D. (PRESIDENT)
(646) 479-8039
Entity
Organization
Contact information
Practice address
2797 OCEAN PKWY STE 3, BROOKLYN, NY 11235-7868
(718) 615-4000
(718) 615-4004
Mailing address
2797 OCEAN PARKWAY, 3RD FLOOR, BROOKLYN, NY 11235-7868
(718) 615-4000
(718) 615-4004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
227196
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
227196
NY
207NS0135X
Procedural Dermatology Physician
227196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02804617
—
NY
Enumeration date
08/21/2006
Last updated
08/20/2024
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