Organization
UPPER WEST SIDE DERMATOLOGY, P.C.
Active
Organization
UPPER WEST SIDE DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA TRAVIS M.D. (SOLE OWNER)
(212) 769-0069
Entity
Organization
Contact information
Practice address
277 W END AVE APT 1B, NEW YORK, NY 10023-2605
(212) 769-0069
Mailing address
277 W END AVE APT 1B, NEW YORK, NY 10023-2605
(212) 769-0069
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
238877
NY
Other
Enumeration date
05/03/2007
Last updated
12/12/2019
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