Organization
DERMATOLOGY LASER AND SURGERY OF CARNEGIE HILL PLLC
Active
Organization
DERMATOLOGY LASER AND SURGERY OF CARNEGIE HILL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LASORSA (MANAGER)
(212) 982-8229
Entity
Organization
Contact information
Practice address
1095 PARK AVE STE 1A, NEW YORK, NY 10128-1154
(212) 982-8229
(646) 792-3301
Mailing address
1095 PARK AVE # 1A, NEW YORK, NY 10128-1154
(212) 982-8229
(646) 792-3301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558403121
NPI
NY
01
—
1578723433
NPI
NY
Enumeration date
03/20/2019
Last updated
06/11/2019
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