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Stacy P Salob MD PLLC

Dermatology in New York, NY. Organization (NPI-2).

NPI number1487849865
StatusActive
Last updated in NPPESOct 7, 2011

Details

NPI
1487849865
Entity type
Organization (NPI-2)
Legal business name
Stacy P Salob MD PLLC
Organization subpart
No
Enumeration date
Sep 10, 2007
Last updated
Oct 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology187578NYYes

Practice location

115 East 61st Street
Suite #7e
New York, NY 10065

Phone 212-317-1100 · Fax 212-317-1391

Mailing address

115 East 61st Street
Suite #7e
New York, NY 10065

Phone 212-317-1100 · Fax 212-317-1391

Authorized official

Stacy P Salob
Owner
2123171100

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