Organization
MOULTON-LEVY DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MOULTON-LEVY M.D. (OWNER)
(646) 287-0734
Entity
Organization
Contact information
Practice address
100 JAY ST, 27F, BROOKLYN, NY 11201-1546
(646) 287-0734
Mailing address
100 JAY ST, 27F, BROOKLYN, NY 11201-1546
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
248077
NY
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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