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Organization
DERMATOLOGIC PROCEDURES OF SUFFOLK COUNTY
Active
Organization
DERMATOLOGIC PROCEDURES OF SUFFOLK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L FOX M.D. (MEDICAL DIRECTOR)
(516) 625-6222
Entity
Organization
Contact information
Practice address
510 MONTAUK HWY, WEST ISLIP, NY 11795-4422
(516) 625-6222
Mailing address
510 MONTAUK HWY, WEST ISLIP, NY 11795-4422
(516) 625-6222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AAAASF CERT # 5763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5763
AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NY
Enumeration date
12/08/2015
Last updated
12/11/2015
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