institution
Bodian Dermatology Group, P.c
Specialist in Great Neck, New York
NPI 1659412104

Bodian Dermatology Group, P.c is a Specialist based in Great Neck, NY. Bodian Dermatology Group, P.c practices in Great Neck, NY. The NPI Number for Bodian Dermatology Group, P.c is 1659412104 and holds a License No. 176289 (New York).

The current practice location address for Bodian Dermatology Group, P.c is 11 Grace Ave, Great Neck, NY and can be reached out via phone at 516-482-2882 and via fax at 516-482-6039.

Location: 11 Grace Ave, Great Neck, NY, 11021-2417
institution
Provider Profile Details
NPI Number
1659412104
Provider Name
Bodian Dermatology Group, P.c
Credential
Provider Entity Type
Organization
Address
11 Grace Ave, Great Neck, NY, 11021-2417
Phone Number
516-482-2882
Fax Number
516-482-6039
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CN7593 01 NY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
11 Grace Ave
City
State
Zip
11021-2417
Phone Number
516-482-2882
Fax Number
516-482-6039
person
Provider Business Mailing Address Details
Address
11 Grace Ave
City
State
Zip
11021-2417
Phone Number
516-482-2882
Fax Number
516-482-6039
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
176289 (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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