Advanced Dermatology PC
NPI #1790951069 in Stony Brook, New York
Provider Information
- NPI Number
- 1790951069
- Entity Type
- Organization
- Organization Name
- Advanced Dermatology PC
- Primary Specialty
- Dermatology
- Enumeration Date
- May 6, 2008
- Last Updated
- May 6, 2008
Practice Location
- Address
- 2500 NESCONSET HWY
- Address 2
- BLDG 10
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2555
- Phone
- (631) 689-3188
Authorized Official
- Name
- LEWIS LIPPNER
- Title
- ADMINISTRATOR
- Phone
- (516) 326-4160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology - Dermatopathology — Dermatopathology |
| Plastic Surgery |
| Dermatology |
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