Bronx Dermatology
Dermatology in Bronx, NY. Organization (NPI-2).
NPI number1699955013
StatusActive
Last updated in NPPESDec 7, 2010
Details
- NPI
- 1699955013
- Entity type
- Organization (NPI-2)
- Legal business name
- Bronx Dermatology
- Organization subpart
- No
- Enumeration date
- Nov 14, 2007
- Last updated
- Dec 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 198261 | NY | Yes |
Other names
- Fordham Dermatology (Doing Business As)
Practice location
553 E Fordham RdBronx, NY 10458-5046
Phone 718-329-2959 · Fax 718-329-6333
Mailing address
553 E Fordham RdBronx, NY 10458-5046
Phone 718-329-2959 · Fax 718-329-6333
Authorized official
Donald Alfred Savitz
Owner
7183292959
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- Dr. Mina Daoud Aziz, MDNPI 1063972719
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