Organization
NINA C. DERMATOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA C. DERMATOLOGY M.D. (OWNER)
(212) 980-9292
Entity
Organization
Contact information
Practice address
561 10TH AVE, SUITE 46D, NEW YORK, NY 10036-3033
(212) 980-9292
Mailing address
561 10TH AVE, SUITE 46D, NEW YORK, NY 10036-3033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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