Huntington Dermatology And Cosmetics Associate Pc

NPI 1487669883 - Dermatology - 207N00000X

NPI Details
NPI 1487669883
Enumeration Date 07/31/2006
Last Updated 09/27/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHYLLIS J PHYLLIS
Position OWNER
Phone (631) 424-3376
Fax (631) 424-0199
Practice Location
11 PROSPECT ST
HUNTINGTON NY, 11743, US
Phone (631) 424-3376
Fax (631) 424-0199
Business Location
11 PROSPECT ST
HUNTINGTON NY, 11743, US
Phone (631) 424-3376
Fax (631) 424-0199
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 152208
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According to our database, Huntington Dermatology And Cosmetics Associate Pc NPI is 1487669883, taxonomy code is 207N00000X and license number is 152208, license state is located at New York. Huntington Dermatology And Cosmetics Associate Pc physically located at 11 Prospect St, Huntington NY, 11743. NPI Number 1033115704 has the healthcare provider type.

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1487669883 NPI number is provided on an as is basis without warranty of any kind. 1487669883 is maintained by the National Plan & Provider Enumeration System. The contents of Huntington Dermatology And Cosmetics Associate Pc are for informational purposes only.