John Tiedemann, LMSW

NPI 1639836869 · on the registry since 2021

Practice

Address: 19 Union Sq W
New York, NY 10003
Phone: (212) 627-9600
Organisation at this address: Realization Center
Realization Center, Inc.
Union Square Laser Dermatology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 194

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York