DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK PC is a specialist in Watertown, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK PC NPI is 1598852329. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
826 WASHINGTON STREET
SUITE 104
WATERTOWN, NY
ZIP 13601-065
Phone: (315) 786-1500
The provider's authorized official is Barbara Licznerski .
The authorized official title is President and has the following contact phone number (315) 786-1500.
The enumeration date for this NPI number is 10/5/2006 and was last updated on 2/18/2009.