Bodian Dermatology Group, P.c

NPI #1659412104 in Great Neck, New York

Provider Information

NPI Number: 1659412104
Entity Type: Organization
Organization Name: Bodian Dermatology Group, P.c
Primary Specialty: Specialist
Enumeration Date: Feb 9, 2007
Last Updated: May 29, 2008

Practice Location

Address: 11 GRACE AVE
Address 2: SUITE 100
City: Great Neck
State: New York
ZIP Code: 11021-2417
Phone: (516) 482-2882

Authorized Official

Name: DR. ADAM BEN BODIAN II, MD
Title: PRESIDENT
Phone: (516) 482-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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