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NPI Provider: 1083610521
Contact Name: Jaeger D Lawrence
Position: Medical Director
Phone: (212) 262-2500
Advanced Dermatology Associates Information:
Advanced Dermatology Associates organization have npi 1083610521, taxonomy code is 207N00000X with license number is 186814 in . This Business address located in 200 Central Park S, New York, NY 10019 New York. Get directions of Advanced Dermatology Associates.
Practice Location
Address: 200 Central Park S, New York, NY 10019
Phone: (212) 262-2500
Business Location
Address: 200 Central Park S, New York, NY 10019
Phone: (212) 262-2500
Fax: (212) 246-0890
Taxonomy
Taxonomy Code: 207N00000X
License Number: 186814
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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