Individual
DR. IAN WILLIAM TATTERSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
240 E 38TH ST FL 12, NEW YORK, NY 10016-2708
(212) 263-5250
Mailing address
240 E 38TH ST FL 11, NEW YORK, NY 10016-2708
(212) 263-5250
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
304817
NY
Other
Enumeration date
03/24/2016
Last updated
06/01/2021
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