Organization · NPI-2

Accredited Dermatology, Laser & Cosmetic Surgery, P.C.

Dermatology · Brooklyn, NY

NPI number1285872275
StatusActive
Last updated in NPPESJan 28, 2009

Details

NPI
1285872275
Entity type
Organization (NPI-2)
Legal business name
Accredited Dermatology, Laser & Cosmetic Surgery, P.C.
Organization subpart
No
Enumeration date
Jan 28, 2009
Last updated
Jan 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology243425NYYes

Practice location

2615 E 16th St
2nd Floor
Brooklyn, NY 11235-3805

Phone 718-263-0300

Mailing address

567 Donald Ln
Woodmere, NY 11598-1516

Authorized official

Yakov Dudelzak
President
7182630300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology providers in Brooklyn, NY