VANGUARD DERMATOLOGY NPI 1619179009

NPI Information

VANGUARD DERMATOLOGY is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VANGUARD DERMATOLOGY NPI is 1619179009. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2119 E 15TH ST
BROOKLYN, NY
ZIP 11229-314
Phone: (718) 332-2999

The provider's authorized official is Michael Shapiro .
The authorized official title is President and has the following contact phone number (718) 332-2999.

The CLIA number assigned to this NPI record is 33D1044873 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 5/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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