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Nassau County Dermatology PLLC

Dermatology in Great Neck, NY. Organization (NPI-2).

NPI number1326731365
StatusActive
Last updated in NPPESMay 26, 2023

Details

NPI
1326731365
Entity type
Organization (NPI-2)
Legal business name
Nassau County Dermatology PLLC
Organization subpart
No
Enumeration date
May 26, 2023
Certification date
May 18, 2023
Last updated
May 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

560 Northern Blvd
Great Neck, NY 11021-5118

Phone 516-773-6660

Mailing address

4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450

Phone 561-314-2000

Authorized official

Animesh Sinha
Authorized Official
5613142000

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