Organization
DERMACARE MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY YAGUDIN D.O. (OWNER)
(212) 223-2235
Entity
Organization
Contact information
Practice address
422 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10017-1131
(212) 223-2235
(212) 759-2585
Mailing address
422 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10017-1131
(212) 223-2235
(212) 759-2585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02395935
—
NY
Enumeration date
11/30/2007
Last updated
11/30/2007
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