1091 SOUTHERN BLVD DERMATOLOGY PLLC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1154004133- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1091 SOUTHERN BLVD, BRONX, NY, 104592417
- Phone
- (718) 401-7000
- Fax
- (917) 473-7878
Specialties & Taxonomies
Dermatology
Primary