Organization
MKL MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KANCHANAPOOMI LEVIN (CEO)
(917) 522-1825
Entity
Organization
Contact information
Practice address
29 W 17TH ST FL 9, NEW YORK, NY 10011-5507
(917) 522-1825
(844) 758-3869
Mailing address
29 W 17TH ST FL 9, NEW YORK, NY 10011-5507
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
03/20/2024
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