Organization
ADVANCED DERMATOLOGY OF NEW YORK PC
Active
Other names
Advanced Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JAEGER D.O (CHIEF EXECUTIVE OFFICER)
(212) 262-2500
Entity
Organization
Contact information
Practice address
200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019-1436
(212) 262-2500
(212) 765-3210
Mailing address
200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019-1436
(212) 262-2500
(212) 765-3210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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