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Organization
NEW AGE DERMATOLOGY PLLC
Active
Organization
NEW AGE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELLA ILARDA MD (OWNER)
(973) 616-7117
Entity
Organization
Contact information
Practice address
7812 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2900
(718) 416-4600
Mailing address
7812 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2900
(718) 416-4600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
206401
NY
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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