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Dermedx Dermatology Pc
Specialist in Smithtown, New York
NPI 1104944032

Dermedx Dermatology Pc is a Specialist based in Smithtown, NY. Dermedx Dermatology Pc practices in Smithtown, NY. The NPI Number for Dermedx Dermatology Pc is 1104944032 and holds a License No. 195658 (New York).

The current practice location address for Dermedx Dermatology Pc is 222 E Main St, Smithtown, NY and can be reached out via phone at 631-265-1351 and via fax at 631-265-9363.

Location: 222 E Main St, Smithtown, NY, 11787-2871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104944032
Provider Name
Dermedx Dermatology Pc
Credential
Provider Entity Type
Organization
Address
222 E Main St, Smithtown, NY, 11787-2871
Phone Number
631-265-1351
Fax Number
631-265-9363
Provider Enumeration Date
03/27/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740242031 01 NY NPI
01785368 05 NY
110501 01 NY MEDICARE INDIVIDUAL #
W17942 01 NY MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
222 E Main St
City
Smithtown
State
New York
Zip
11787-2871
Phone Number
631-265-1351
Fax Number
631-265-9363
person
Provider Business Mailing Address Details
Address
222 E Main St
City
Smithtown
State
New York
Zip
11787-2871
Phone Number
631-265-1351
Fax Number
631-265-9363
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
195658 (New York)
Definition
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.
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