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Russak Dermatology Pc
Medical Specialty Clinic/Center in New York, New York
NPI 1487992871

Russak Dermatology Pc is a Medical Specialty Clinic/Center based in New York, NY and is specialized in Medical Specialty. Russak Dermatology Pc practices in New York, NY. The NPI Number for Russak Dermatology Pc is 1487992871 and holds a License No. 249307-1 (New York).

The current practice location address for Russak Dermatology Pc is 115 E 57Th St, New York, NY and can be reached out via phone at 212-684-5964.

Location: 115 E 57Th St, New York, NY, 10022-2049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487992871
Provider Name
Russak Dermatology Pc
Credential
Provider Entity Type
Organization
Address
115 E 57Th St, New York, NY, 10022-2049
Phone Number
212-684-5964
Fax Number
Provider Enumeration Date
01/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 E 57Th St
City
New York
State
New York
Zip
10022-2049
Phone Number
212-684-5964
Fax Number
person
Provider Business Mailing Address Details
Address
115 E 57Th St
City
New York
State
New York
Zip
10022-2049
Phone Number
212-684-5964
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
249307-1 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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