UPPER WEST SIDE DERMATOLOGY, P.C.
Dermatology in New York, NY

License number
New York 238877
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. LISA TRAVIS M.D.
Title: SOLE OWNER
Phone: (212) 769-0069
Address
Address
115 WEST Suite #1, New York, NY 10023
National Provider ID: 1427270727
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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UPPER WEST SIDE DERMATOLOGY PC

New York, NY

Industry:
Medical Doctor's Office
Doing business as:
Lisa Travis Physician
Registration:
Apr 5, 2007
Phone:
(212) 769-0069 (Phone)
Addresses:
115 Central Park W STE 1, New York, NY 10023 (Physical)
211 Central Park W, New York, NY 10024
State ID:
3499727
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Doctors:
Lisa Travis Md, 115 Central Park W STE 1, New York, NY 10023 (Physical),Lisa Travis (Dermatology, Medical Doctor, Owner),Raphael A. Castillo (Medical Doctor)

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