Individual
ERIC KUSSELUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 MADISON AVE, 3RD FLOOR DERMATOLOGY, NEW YORK, NY 10022-1009
(212) 753-6033
(212) 308-6847
Mailing address
635 MADISON AVE, 3RD FLOOR DERMATOLOGY, NEW YORK, NY 10022-1009
(212) 753-6033
(212) 308-6847
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
239183
NY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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