Organization
EIDELMAN DERMATOLOGY PLLC
Active
Organization
EIDELMAN DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E EIDELMAN M.D. (OWNER)
(212) 675-0549
Entity
Organization
Contact information
Practice address
245 W 19TH ST, GROUND FL, NEW YORK, NY 10011
(212) 675-0549
(212) 675-0540
Mailing address
245 W 19TH ST, GROUND FL, NEW YORK, NY 10011
(212) 675-0549
(212) 675-0540
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
209980
NY
Other
Enumeration date
04/27/2009
Last updated
03/14/2011
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