Organization
PARK AVENUE DERMATOLOGY ASSOCIATES, PC
Active
Organization
PARK AVENUE DERMATOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LESLIE WARNER M.D. (PRESIDENT)
(212) 752-3692
Entity
Organization
Contact information
Practice address
580 PARK AVE, NEW YORK, NY 10065-7313
(212) 752-3692
(212) 838-5636
Mailing address
580 PARK AVE, NEW YORK, NY 10065-7313
(212) 752-3692
(212) 838-5636
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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