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Organization
VANGUARD DERMATOLOGY
Active
Organization
VANGUARD DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHAPIRO (PRESIDENT)
(718) 609-0310
Entity
Organization
Contact information
Practice address
2119 E 15TH ST, BROOKLYN, NY 11229-4314
(718) 332-2999
(718) 332-3454
Mailing address
698 MANHATTAN AVE, 3 FLOOR, BROOKLYN, NY 11222-3160
(718) 609-0310
(718) 332-3454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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