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Organization
PARK AVENUE DERMATOLOGY, PC
Active
Organization
PARK AVENUE DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK LIGRESTI (DOCTOR)
(718) 981-5040
Entity
Organization
Contact information
Practice address
31 TIOGA ST, STATEN ISLAND, NY 10301-4329
(718) 981-5040
Mailing address
31 TIOGA ST, STATEN ISLAND, NY 10301-4329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
02/02/2017
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