MEDICARE: DORIS DAY MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	192762	NY

General Provider Information

NPI Number	:	1699903450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORIS DAY MD PC

Provider Business Mailing Address
First Line	:	10 E 70TH ST
Second Line	:	SUITE 1C
City	:	NEW YORK
State	:	NY
Zip	:	10021-4963
Country	:	US
Telephone Number	:	212-772-0740
Fax Number	:	212-937-9856

Provider Business Practice Location Address
First Line	:	10 E 70TH ST
Second Line	:	SUITE 1C
City	:	NEW YORK
State	:	NY
Zip	:	10021-4963
Country	:	US
Telephone Number	:	212-772-0740
Fax Number	:	212-937-9856

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. DORIS DAY
Credential	:	M.D.
Telephone Number	:	212-772-0740

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	01/29/2013

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