Individual
DR. MUSTAFA SECKIN DERVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 MADISON ST, GOUVERNEUR MEDICAL STAFF OFFICE, ROOM 1249, NEW YORK, NY 10002-7537
(212) 238-7614
(212) 238-7009
Mailing address
120 CENTRAL PARK S, 3D, NEW YORK, NY 10019-1560
(212) 245-8973
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
125039
NY
208600000X
Surgery Physician
Primary
125039
NY
Other
Enumeration date
04/06/2006
Last updated
07/27/2010
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