Provider Demographics
NPI:1760041297
Name:TRUE DERMATOLOGY PLLC
Entity Type:Organization
Organization Name:TRUE DERMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIZUOCO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-658-7018
Mailing Address - Street 1:54 W 21ST ST RM 307
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7373
Mailing Address - Country:US
Mailing Address - Phone:646-397-6377
Mailing Address - Fax:772-783-1002
Practice Address - Street 1:54 W 21ST ST RM 307
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7373
Practice Address - Country:US
Practice Address - Phone:466-397-6377
Practice Address - Fax:772-783-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-09
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty