NPI 1043465602

Laser & Mohs Surgery of New York PLLC

Organisation Point of Service New York, NY

Practice location

Address: 130 W 42nd St STE 1805, New York, NY 10036-7902
Phone: (212) 391-8600
Fax: (212) 391-8601

Authorised official

Name: Adelle T Quintana
Title: Owner
Phone: (212) 391-8600

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 207656 (NY)

Other Point of Service providers in New York →

Registry record

NPI: 1043465602
Entity type: Organization
NPI issued: 24 Nov 2008
Record last updated: 24 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.