Finger Lakes Dermatology
Specialist in Auburn, NY. Organization (NPI-2).
NPI number1023200722
StatusActive
Last updated in NPPESJul 29, 2014
Details
- NPI
- 1023200722
- Entity type
- Organization (NPI-2)
- Legal business name
- Finger Lakes Dermatology
- Organization subpart
- No
- Enumeration date
- Aug 16, 2007
- Last updated
- Jul 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
100 Genesee StSuite 108
Auburn, NY 13021-3642
Phone 315-252-7539 · Fax 315-252-3885
Mailing address
144 Standart AveAuburn, NY 13021-1508
Phone 315-255-1100 · Fax 315-255-1322
Authorized official
Angela Ash
Office Manager
3152551100
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