Individual
DR. SUPRIYA RASTOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 E 55TH ST FL 14, NEW YORK, NY 10022-4585
(212) 283-3000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
328062
NY
Other
Enumeration date
03/05/2015
Last updated
07/09/2024
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