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NPI 1154004133

OrganizationActive

1091 Southern Blvd Dermatology PLLC

NPI 1154004133 · Dermatology Physician · Bronx, NY

Provider details

NPI number: 1154004133
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Wendy Sanchez, Office Manager

Practice location

1091 Southern Blvd

Bronx, NY 10459-2417

Phone: (718) 401-7000

Fax: (917) 473-7878

More NY providers

Mailing address

4037 74th St

Elmhurst, NY 11373-5603

Registry dates

Enumerated: 2023-08-08
Last updated: 2023-08-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1091 Southern Blvd Dermatology PLLC — NPI 1154004133, Bronx, NY | NPI Central