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Organization
NEW YORK DERMATOLOGY, PC
Active
Organization
NEW YORK DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN SPENCE ZUCKERMAN MD (MEDICAL DIRECTOR)
(718) 423-0200
Entity
Organization
Contact information
Practice address
2383 BELL BLVD, BAYSIDE, NY 11360-2053
(718) 423-0200
(718) 423-3134
Mailing address
2383 BELL BLVD, BAYSIDE, NY 11360-2053
(718) 423-0200
(718) 423-3134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
168660
NY
Other
Enumeration date
01/09/2008
Last updated
03/11/2008
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