Wainwright Dermatology, Pllc

NPI #1457550352 in Cross River, New York

Provider Information

NPI Number: 1457550352
Entity Type: Organization
Organization Name: Wainwright Dermatology, Pllc
Primary Specialty: Dermatology
Enumeration Date: Jul 12, 2007
Last Updated: Jan 23, 2012

Practice Location

Address: 19 NORTH SALEM ROAD
Address 2: 2ND FLOOR
City: Cross River
State: New York
ZIP Code: 10518-0365
Phone: (914) 763-3000

Authorized Official

Name: DR. BRENT WAINWRIGHT, MD
Title: PRICIPAL PHYSICIAN - ONE MEMBER LLC
Phone: (914) 763-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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