Provider Demographics
NPI:1225360399
Name:SKIN SPECIALTY DERMATOLOGY - FRAN E. COOK-BOLDEN M.D., P.C.
Entity Type:Organization
Organization Name:SKIN SPECIALTY DERMATOLOGY - FRAN E. COOK-BOLDEN M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK-BOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-223-6599
Mailing Address - Street 1:150 EAST 58TH STREET
Mailing Address - Street 2:3RD FLOOR ANNEX
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10155
Mailing Address - Country:US
Mailing Address - Phone:212-223-6599
Mailing Address - Fax:212-223-6698
Practice Address - Street 1:150 E 58TH ST
Practice Address - Street 2:3RD FLOOR ANNEX
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10155-0002
Practice Address - Country:US
Practice Address - Phone:212-223-6599
Practice Address - Fax:212-223-6698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty