Organization
ADVANCED DERMATOLOGY OF NEW YORK, PC
Active
Organization
ADVANCED DERMATOLOGY OF NEW YORK, PC
Active
Other names
Advanced Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE D JAEGER D.O. (OFFICER)
(212) 262-2500
Entity
Organization
Contact information
Practice address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
(718) 671-1000
(212) 765-3210
Mailing address
200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019-1436
(212) 262-2500
(212) 765-3210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
12/10/2014
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