Advanced Dermatology Pc

NPI 1043486319 - Dermatology - 207ND0101X

NPI Details
NPI 1043486319
Enumeration Date 05/06/2008
Last Updated 05/06/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LEWIS LEWIS
Position ADMINISTRATOR
Phone (631) 587-1132
Fax (631) 422-4922
Practice Location
510 MONTAUK HWY
WEST ISLIP NY, 11795-4422, US
Phone (631) 587-1132
Fax (631) 422-4922
Business Location
6 LOWELL AVE
NEW HYDE PARK NY, 11040-2810, US
Phone (516) 326-4160
Fax (516) 437-0482
Toxanomy
Taxonomy Code 207ND0101X
License State
License Number
Remove 1043486319 NPI Number
 

According to our database, Advanced Dermatology Pc NPI is 1043486319, taxonomy code is 207ND0101X Advanced Dermatology Pc physically located at 510 Montauk Hwy, West Islip NY, 11795-4422. NPI Number 1033115704 has the healthcare provider type.

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1043486319 NPI number is provided on an as is basis without warranty of any kind. 1043486319 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dermatology Pc are for informational purposes only.