Provider Demographics
NPI:1891961108
Name:JUDITH HELLMAN C/O TRAGER KEVY & TRAGER LLP
Entity Type:Organization
Organization Name:JUDITH HELLMAN C/O TRAGER KEVY & TRAGER LLP
Other - Org Name:BIG APPLE SKIN DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-751-0577
Mailing Address - Street 1:30 CENTRAL PARK S
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1628
Mailing Address - Country:US
Mailing Address - Phone:212-751-0577
Mailing Address - Fax:212-751-0118
Practice Address - Street 1:30 CENTRAL PARK S
Practice Address - Street 2:SUITE 2D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1628
Practice Address - Country:US
Practice Address - Phone:212-751-0577
Practice Address - Fax:212-751-0118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY70H961Medicare PIN