Organization
PARK AVENUE DERMATOLOGY & PLASTIC SURGERY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H GOTKIN MD (PARTNER)
(212) 794-4000
Entity
Organization
Contact information
Practice address
625 PARK AVE, NEW YORK, NY 10021-6545
(212) 794-4000
(212) 794-0231
Mailing address
625 PARK AVE, NEW YORK, NY 10021-6545
(212) 794-4000
(212) 794-0231
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
NY
207NS0135X
Procedural Dermatology Physician
—
NY
208200000X
Plastic Surgery Physician
Primary
—
NY
Other
Enumeration date
08/15/2005
Last updated
09/11/2025
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