Provider Demographics
NPI:1821166687
Name:DERMATOLOGY ASSOCIATES OF WESTCHESTER PC
Entity Type:Organization
Organization Name:DERMATOLOGY ASSOCIATES OF WESTCHESTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-636-7610
Mailing Address - Street 1:140 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4915
Mailing Address - Country:US
Mailing Address - Phone:914-636-7610
Mailing Address - Fax:914-632-3322
Practice Address - Street 1:140 LOCKWOOD AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4915
Practice Address - Country:US
Practice Address - Phone:914-636-7610
Practice Address - Fax:914-632-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090414174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty