Organization
NY DERMATOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA B TRAVIS MD (OWNER)
(212) 769-0069
Entity
Organization
Contact information
Practice address
277 W END AVE APT 1B, NEW YORK, NY 10023-2605
(212) 769-0069
Mailing address
277 W END AVE APT 1B, NEW YORK, NY 10023-2605
(212) 769-0069
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/09/2019
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