Organization
LIGHTHOUSE DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOREN MATTHEW WHITE M.D. (OWNER/PRESIDENT)
(212) 396-3688
Entity
Organization
Contact information
Practice address
110 E 59TH ST, SUITE 10D, NEW YORK, NY 10022-1304
(212) 583-2920
Mailing address
110 E 59TH ST, SUITE 10D, NEW YORK, NY 10022-1304
(212) 583-2920
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
206357
NY
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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