33D1073810 CLIA NUMBER - RONALD R BRANCACCIO, MD, PC DBA SKIN INSTITUTE OF NEW YORK

Laboratory Demographics

CLIA Number: 33D1073810

Facility Name: RONALD R BRANCACCIO, MD, PC DBA SKIN INSTITUTE OF NEW YORK

Facility Address:
7901 FOURTH AVENUE
BROOKLYN, NY
ZIP 11209
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Facility Phone Number: 718 491-5800

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1174578769

Taxonomy: 174400000X - Specialist
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.

CLIA Record

Field Name	Field Value
CLIA Number	33D1073810
LAB Type	Physician Office
Facility Name	RONALD R BRANCACCIO, MD, PC DBA SKIN INSTITUTE OF NEW YORK
Street	7901 FOURTH AVENUE
City	BROOKLYN
State	NY
ZIP	11209
Phone	718 491-5800
CertificateType	2
CertificateEffectiveDate	1/24/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024