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Organization
SOUTH NASSAU DERMATOLOGY
Active
Organization
SOUTH NASSAU DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA BUCHHOLZ (BOOKKEEPER)
(516) 766-0345
Entity
Organization
Contact information
Practice address
2900 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1404
(516) 520-5280
(516) 520-5283
Mailing address
2900 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1404
(516) 520-5280
(516) 520-5283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
126210
NY
Other
Enumeration date
10/10/2007
Last updated
11/05/2007
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