Provider Demographics
NPI:1235776485
Name:LIBBY RHEE DO DERMATOLOGY PLLC
Entity Type:Organization
Organization Name:LIBBY RHEE DO DERMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-433-4569
Mailing Address - Street 1:110 E 60TH ST # 800
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1688
Mailing Address - Country:US
Mailing Address - Phone:212-433-4569
Mailing Address - Fax:
Practice Address - Street 1:110 E 60TH ST # 800
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1688
Practice Address - Country:US
Practice Address - Phone:212-433-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty