Island Mohs Surgery Pllc

NPI 1114271285 - Specialist - 174400000X

NPI Details
NPI 1114271285
Enumeration Date 10/29/2012
Last Updated 10/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALAN LEE ALAN
Position MEMBER
Phone (516) 745-0606
Fax (516) 745-0679
Practice Location
877 STEWART AVENUE SUITE 27
GARDEN CITY NY, 11530-4803, US
Phone (516) 745-0606
Fax (516) 745-0679
Business Location
877 STEWART AVENUE SUITE 27
GARDEN CITY NY, 11530-4803, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 150517-1
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According to our database, Island Mohs Surgery Pllc NPI is 1114271285, taxonomy code is 174400000X and license number is 150517-1, license state is located at New York. Island Mohs Surgery Pllc physically located at 877 Stewart Avenue Suite 27, Garden City NY, 11530-4803. NPI Number 1033115704 has the healthcare provider type.

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1114271285 NPI number is provided on an as is basis without warranty of any kind. 1114271285 is maintained by the National Plan & Provider Enumeration System. The contents of Island Mohs Surgery Pllc are for informational purposes only.