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Organization
SEAVIEW SKIN CANCER SURGERY, LLC
Active
Organization
SEAVIEW SKIN CANCER SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA PELORO MD (MOHS SURGEON)
(732) 995-2967
Entity
Organization
Contact information
Practice address
256 MASON AVE # C, THIRD FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1251
(718) 226-1252
Mailing address
256 MASON AVE # C, THIRD FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1251
(718) 226-1252
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
201613-1
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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