Organization
AESTHETIC SURGERY AND DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR TORRES (DOCTOR)
(212) 673-5633
Entity
Organization
Contact information
Practice address
117 E 18TH ST STE 1, NEW YORK, NY 10003-2113
(212) 673-5633
Mailing address
205 W 54TH ST APT 11E, NEW YORK, NY 10019-5536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
225487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375524
—
NY
Enumeration date
11/01/2006
Last updated
03/18/2008
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