Gold Coast Dermatology PC

NPI #1578138343 in Commack, New York

Provider Information

NPI Number: 1578138343
Entity Type: Organization
Organization Name: Gold Coast Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: May 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 149 COMMACK RD STE B
City: Commack
State: New York
ZIP Code: 11725-3459
Phone: (631) 467-4653

Authorized Official

Name: DR. CHARISSE L MCCALL, DO
Title: PRESIDENT
Phone: (631) 467-4653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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