Organization · NPI-2

Advanced Dermatology Laser And Cosmetic Surgery P.C.

Dermatology · Brooklyn, NY

NPI number1811032196

StatusActive

Last updated in NPPESOct 20, 2008

Details

NPI: 1811032196
Entity type: Organization (NPI-2)
Legal business name: Advanced Dermatology Laser And Cosmetic Surgery P.C.
Organization subpart: No
Enumeration date: Feb 21, 2007
Last updated: Oct 20, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	–	–	Yes
207ND0101X	Dermatology, MOHS-Micrographic Surgery	–	–
207ND0900X	Dermatology, Dermatopathology	–	–
207NI0002X	Dermatology, Clinical & Laboratory Dermatological Immunology	–	–
207NP0225X	Dermatology, Pediatric Dermatology	–	–
207NS0135X	Dermatology, Procedural Dermatology	–	–

Practice location

1220 Avenue P
Brooklyn, NY 11229-1009

Phone 718-375-7546 · Fax 718-376-6475

Mailing address

1220 Avenue P
Brooklyn, NY 11229-1009

Phone 718-375-7546 · Fax 718-376-6475

Authorized official

Eyal K Levit
Medical Director
7183757546

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