Organization
SOUTHERN WESTCHESTER DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN DONNA TEPLITZ MD (PHYSICIAN)
(914) 337-9100
Entity
Organization
Contact information
Practice address
1 ELM STREET, PARKWAY PLAZA MEDICAL CENTER SUITE 2B, TUCKAHOE, NY 10707
(914) 337-9100
(914) 337-9485
Mailing address
1 ELM STREET, PARKWAY PLAZA MEDICAL CENTER SUITE 2B, TUCKAHOE, NY 10707
(914) 337-9100
(914) 337-9485
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1564121
NY
Other
Enumeration date
10/12/2006
Last updated
06/22/2010
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