Individual
DR. KATHLEEN ROSE VINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
928 BROADWAY, SUITE 301, NEW YORK, NY 10010-6008
(646) 421-6064
(646) 843-4701
Mailing address
200 E 15TH ST APT 10C, NEW YORK, NY 10003-3960
(646) 418-6584
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
262895
NY
Other
Enumeration date
07/02/2008
Last updated
06/01/2016
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