DERMATOLOGIC PROCEDURES OF SUFFOLK COUNTY NPI 1740655331

NPI Information

DERMATOLOGIC PROCEDURES OF SUFFOLK COUNTY is a specialist in West Islip, 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. DERMATOLOGIC PROCEDURES OF SUFFOLK COUNTY NPI is 1740655331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 MONTAUK HWY
WEST ISLIP, NY
ZIP 11795-422
Phone: (516) 625-6222

The provider's authorized official is Joshua L Fox .
The authorized official title is Medical Director and has the following contact phone number (516) 625-6222.

The enumeration date for this NPI number is 12/8/2015 and was last updated on 12/11/2015.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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