Park Avenue Dermatology
Park Avenue Dermatology is a Legal Medicine in Staten Island, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
31 Tioga StStaten Island, NY 10301
Phone: (718) 981-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence 018032 (NY) |
|---|
Record details
| NPI number | 1447642103 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amanda Dick — Ofice Manager · (718) 981-5040 |
| NPI enumerated | March 4, 2015 |
| Last updated in NPPES | March 4, 2015 |
| Mailing address | 31 Tioga St, Staten Island, NY 10301 |
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