57 WEST DERMATOLOGY LLC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1306224001- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 57 W 57TH ST SUITE 1109, NEW YORK, NY, 100192802
- Phone
- (516) 297-2691
Specialties & Taxonomies
Dermatology
Primary License: NY #196509