Organization
BB MEDICAL AND DERMATOLOGY INC
Active
Other names
BB medical and dermatology, LUNA Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BAIR DO (PRESIDENT)
(415) 802-1310
Entity
Organization
Contact information
Practice address
515 MADISON AVE, 6TH FLOOR, NEW YORK, NY 10022-5403
(415) 802-1310
Mailing address
515 MADISON AVE, 6TH FLOOR, NEW YORK, NY 10022-5403
(415) 802-1310
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
273364-1
NY
Other
Enumeration date
04/30/2017
Last updated
07/01/2021
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