NPI 1063717338

Faculty Dermatology, PC

Organisation Procedural Dermatology Physician Brooklyn, NY

Practice location

Address: 6903 4th Ave, Brooklyn, NY 11209-1509
Phone: (718) 238-6161
Fax: (718) 238-6194
Mailing address: 340 E 64th St, New York, NY 10065-7503

Authorised official

Name: Bijan Safai
Title: Director
Phone: (212) 988-8918

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 113002 (NY)

Other Dermatology providers in New York →

Registry record

NPI: 1063717338
Entity type: Organization
NPI issued: 18 Jan 2011
Record last updated: 18 Jan 2011

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.