Organization
KERIS LASER AND DERMATOLOGIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAYAH JAMAL M.D. (OWNER)
(212) 229-0333
Entity
Organization
Contact information
Practice address
166 5TH AVE, 2ND FLOOR, NEW YORK, NY 10010-5909
(212) 229-0333
Mailing address
166 5TH AVE, 2ND FLOOR, NEW YORK, NY 10010-5909
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
201210
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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