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Organization
GARDEN CITY DERMATOLOGY, PC
Active
Organization
GARDEN CITY DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE DALY (PHYSICIAN)
(516) 227-3376
Entity
Organization
Contact information
Practice address
901 STEWART AVE, GARDEN CITY, NY 11530-4893
(516) 227-3376
Mailing address
901 STEWART AVE, GARDEN CITY, NY 11530-4893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011987
NY
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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