Organization
DERMATOLOGY&AESTHETICS P.C.
Active
Organization
DERMATOLOGY&AESTHETICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN BRADU M.D. (PRESIDENT)
(718) 541-0593
Entity
Organization
Contact information
Practice address
6321 ALDERTON ST, REGO PARK, NY 11374-2824
(718) 651-7302
Mailing address
8519 65TH RD, REGO PARK, NY 11374-5035
(718) 541-0593
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
232177
NY
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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