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Long Island Skin Cancer And Dermatologic Surgery, Pc
Specialist in Smithtown, New York
NPI 1689677197

Long Island Skin Cancer And Dermatologic Surgery, Pc is a Specialist based in Smithtown, NY. Long Island Skin Cancer And Dermatologic Surgery, Pc practices in Smithtown, NY. The NPI Number for Long Island Skin Cancer And Dermatologic Surgery, Pc is 1689677197 and holds a License No. 226570 (New York).

The current practice location address for Long Island Skin Cancer And Dermatologic Surgery, Pc is 994 W Jericho Tpke, Smithtown, NY and can be reached out via phone at 631-864-6647 and via fax at 631-864-6001.

Location: 994 W Jericho Tpke, Smithtown, NY, 11787-3211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689677197
Provider Name
Long Island Skin Cancer And Dermatologic Surgery, Pc
Credential
Provider Entity Type
Organization
Address
994 W Jericho Tpke, Smithtown, NY, 11787-3211
Phone Number
631-864-6647
Fax Number
631-864-6001
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
994 W Jericho Tpke
City
Smithtown
State
New York
Zip
11787-3211
Phone Number
631-864-6647
Fax Number
631-864-6001
person
Provider Business Mailing Address Details
Address
994 W Jericho Tpke
City
Smithtown
State
New York
Zip
11787-3211
Phone Number
631-864-6647
Fax Number
631-864-6001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
226570 (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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