Organization
TOBECHI L. EBEDE, MD, PLLC
Active
Other names
Plaza Park Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
TOBECHI EBEDE MD (MEDICAL DIRECTOR)
(718) 522-6647
Entity
Organization
Contact information
Practice address
26 COURT ST, SUITE 1005, BROOKLYN, NY 11242-0103
(718) 522-6647
(718) 858-2461
Mailing address
26 COURT ST, SUITE 1005, BROOKLYN, NY 11242-0103
(718) 522-6647
(718) 858-2461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
245700
NY
207ND0101X
MOHS-Micrographic Surgery Physician
245700
NY
207NS0135X
Procedural Dermatology Physician
245700
NY
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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