Organization
AL DERMATOLOGY,PC
Active
Organization
AL DERMATOLOGY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYUBOV AVSHALUMOVA DO (PRESIDENT)
(212) 964-4151
Entity
Organization
Contact information
Practice address
100 BEEKMAN ST, SUITE 22L, NEW YORK, NY 10038-1810
(212) 964-4151
(718) 259-3705
Mailing address
100 BEEKMAN ST, SUITE 22L, NEW YORK, NY 10038-1810
(212) 964-4151
(718) 259-3705
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
256828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03308418
—
NY
Enumeration date
07/19/2011
Last updated
07/19/2011
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