Organization
UNION SQUARE LASER DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SCOTT (DIRECTOR)
(212) 366-5400
Entity
Organization
Contact information
Practice address
19 UNION SQ W FL 5, NEW YORK, NY 10003-3304
(212) 366-5400
Mailing address
19 UNION SQ W, NEW YORK, NY 10003-3304
(212) 366-5400
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
235121
NY
Other
Enumeration date
09/16/2011
Last updated
08/20/2013
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