Organization
KERIS LASER AND DERMATOLOGIC SURGERY, PLLC
Active
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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