Organization
ADVANCED DERMATOLOGY OF NEW YORK PC
Active
Parent organization
ADVANCED DERMATOLOGY OF NEW YORK PC
Other names
Advanced Dermatology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED DERMATOLOGY OF NEW YORK PC
Authorized official
NICOLE MAULELLA (COO)
(212) 262-2500
Entity
Organization
Contact information
Practice address
1-3 WEST 125TH STREET, NEW YORK, NY 10027
(212) 246-6800
(212) 765-3210
Mailing address
200 CENTRAL PARK S APT 107, NEW YORK, NY 10019-1449
(212) 262-2500
(212) 765-3210
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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