Registry details
Type
Organization
Primary specialty
Dermatology
Enumerated
Aug 8, 2023
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1091 SOUTHERN BLVD | Bronx, NY 10459-2417 | 718-401-7000 |
| MAILING | 4037 74TH ST | Elmhurst, NY 11373-5603 | 347-642-9802 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.