1091 Southern Blvd Dermatology PLLC
1091 Southern Blvd Dermatology PLLC is a Dermatology Physician in Bronx, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1091 Southern BlvdBronx, NY 10459-2417
Phone: (718) 401-7000
Fax: (917) 473-7878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1154004133 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy Sanchez — Office Manager · (347) 642-9802 |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
| Mailing address | 4037 74th St, Elmhurst, NY 11373-5603 |
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