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RAMATHIA MICHELE DEFREESE PA-C

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1205789641
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
214 SULLIVAN ST, NEW YORK, NY, 100121354
Phone
(212) 385-3700

Specialties & Taxonomies

Dermatology Primary License: NY #035098-01

All Addresses

MAILING

50 GLENWOOD AVE APT 806

JERSEY CITY, NJ, 073064650

(201) 736-9546

LOCATION

214 SULLIVAN ST

NEW YORK, NY, 100121354

(212) 385-3700