Provider Demographics
NPI:1891688859
Name:L'AVENUE DERMATOLOGY & AESTHETIC SURGERY PLLC
Entity type:Organization
Organization Name:L'AVENUE DERMATOLOGY & AESTHETIC SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CULA
Authorized Official - Middle Name:
Authorized Official - Last Name:SVIDZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-543-9244
Mailing Address - Street 1:30 EAST 60TH ST
Mailing Address - Street 2:SUITE 1902
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1016
Mailing Address - Country:US
Mailing Address - Phone:347-528-2802
Mailing Address - Fax:
Practice Address - Street 1:30 EAST 60TH ST
Practice Address - Street 2:SUITE 1902
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1016
Practice Address - Country:US
Practice Address - Phone:646-543-9244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Multi-Specialty