Individual
TENA MARIA RALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
67 PERRY ST, NEW YORK, NY 10014-3245
(212) 675-5847
(212) 675-5800
Mailing address
67 PERRY ST, NEW YORK, NY 10014-3245
(212) 675-5847
(275) 675-5800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
265089
MA
207N00000X
Dermatology Physician
Primary
323244
NY
Other
Enumeration date
09/22/2015
Last updated
07/29/2024
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