South Nassau Dermatology

NPI 1144272899 - Specialist - 174400000X

NPI Details
NPI 1144272899
Enumeration Date 05/17/2006
Last Updated 03/28/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CARL M CARL
Position PRESIDENT
Phone (516) 766-0345
Fax (516) 766-4690
Practice Location
258 MERRICK RD
OCEANSIDE NY, 11572-1427, US
Phone (516) 766-0345
Fax (516) 766-4690
Business Location
258 MERRICK RD
OCEANSIDE NY, 11572-1427, US
Phone (516) 766-0345
Fax (516) 766-4690
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 126210
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According to our database, South Nassau Dermatology NPI is 1144272899, taxonomy code is 174400000X and license number is 126210, license state is located at New York. South Nassau Dermatology physically located at 258 Merrick Rd, Oceanside NY, 11572-1427. NPI Number 1033115704 has the healthcare provider type.

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1144272899 NPI number is provided on an as is basis without warranty of any kind. 1144272899 is maintained by the National Plan & Provider Enumeration System. The contents of South Nassau Dermatology are for informational purposes only.