Organization
DERMATOLOGY WEST 57TH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HELLER M.D. (PRESIDENT)
(212) 245-8123
Entity
Organization
Contact information
Practice address
315 W 57TH ST, SUITE 405, NEW YORK, NY 10019-3158
(212) 245-8123
(212) 765-0601
Mailing address
315 W 57TH ST, SUITE 405, NEW YORK, NY 10019-3158
(212) 245-8123
(212) 765-0601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
136938
NY
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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