Nassau County Dermatology PLLC
Dermatology in Great Neck, NY. Organization (NPI-2).
NPI number1528758554
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1528758554
- Entity type
- Organization (NPI-2)
- Legal business name
- Nassau County Dermatology PLLC
- Organization subpart
- No
- Enumeration date
- May 12, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Nassau County Dermatology PLLC (Former Legal Business Name)
Practice location
560 Northern BlvdSuite 202
Great Neck, NY 11021
Phone 516-773-6660
Mailing address
4700 Exchange CtSuite 100
Boca Raton, FL 33431-4450
Phone 561-314-2000 · Fax 561-431-2821
Authorized official
Animesh Sinha
Officer
5613142000
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