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Organization
LONG ISLAND SKIN CANCER AND DERMATOLOGIC SURGERY, PC
Active
Organization
LONG ISLAND SKIN CANCER AND DERMATOLOGIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY L. WONG M.D. (SECRETARY/TREASURER)
(347) 524-4033
Entity
Organization
Contact information
Practice address
994 W JERICHO TPKE, STE 103, SMITHTOWN, NY 11787-3211
(631) 864-6647
(631) 864-6001
Mailing address
994 W JERICHO TPKE, STE 103, SMITHTOWN, NY 11787-3211
(631) 864-6647
(631) 864-6001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
226570
NY
Other
Enumeration date
05/30/2005
Last updated
08/22/2020
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