Advanced Dermatology PC

NPI #1821264193 in Commack, New York

Provider Information

NPI Number: 1821264193
Entity Type: Organization
Organization Name: Advanced Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: May 6, 2008
Last Updated: May 6, 2008

Practice Location

Address: 160 COMMACK RD
City: Commack
State: New York
ZIP Code: 11725-3412
Phone: (631) 499-1200

Authorized Official

Name: MR. LEWIS LIPPNER
Title: ADMINISTRATOR
Phone: (516) 326-4160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Plastic Surgery	208200000X
Dermatology	207N00000X	Primary

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Individual Providers

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DR. Charisse Mccall, D.O.	Dermatology	Commack	AI Deep Dive
MR. Gary M Hahn, M.D.	Dermatology	Commack	AI Deep Dive
Alyssa Marianna Brennan	Dermatology	Commack	AI Deep Dive
DR. Regina Yavel, M.D.	Dermatology	Commack	AI Deep Dive

Organizations

Provider Name	Specialty	City
Gold Coast Dermatology PC	Dermatology	Commack	AI Deep Dive

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