Advanced Dermatology PC
NPI #1134201460 in New Hyde Park, New York
Provider Information
- NPI Number
- 1134201460
- Entity Type
- Organization
- Organization Name
- Advanced Dermatology PC
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Oct 30, 2008
Practice Location
- Address
- 6 LOWELL AVE
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040
- Phone
- (516) 326-4160
Authorized Official
- Name
- LEWIS LIPPNER
- Title
- ADMINISTRATOR
- Phone
- (516) 326-4160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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