Organization
GRACE DERMATOLOGY PC
Active
Organization
GRACE DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYEWON H PAK MD (PHYSICIAN)
(212) 675-7761
Entity
Organization
Contact information
Practice address
51 5TH AVE, SUITE A1, NEW YORK, NY 10003-4320
(212) 675-7761
Mailing address
51 5TH AVE, SUITE A1, NEW YORK, NY 10003-4320
(212) 675-7761
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
199707
NY
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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