Elevate Dermatology, P.c.

NPI #1932880788 in Commack, New York

Provider Information

NPI Number: 1932880788
Entity Type: Organization
Organization Name: Elevate Dermatology, P.c.
Primary Specialty: Dermatology
Enumeration Date: Jul 25, 2023
Last Updated: Nov 19, 2023

Practice Location

Address: 66 COMMACK RD STE 200
City: Commack
State: New York
ZIP Code: 11725-3405
Phone: (631) 481-7470

Authorized Official

Name: DR. TAMARA KOSS, MD
Title: PRESIDENT
Phone: (917) 575-5306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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