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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