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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