Organization
DMITRY KHASAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE GERLANTS (MANAGER)
(201) 889-7047
Entity
Organization
Contact information
Practice address
77 PARK AVE STE 1A, NEW YORK, NY 10016-2556
(212) 826-6669
(866) 861-0767
Mailing address
77 PARK AVE STE 1A, NEW YORK, NY 10016-2556
(212) 826-6669
(866) 861-0767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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