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Organization
GREAT NECK DERMATOLOGY, P.C.
Active
Organization
GREAT NECK DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA KACZOR (OFFICE MANAGER)
(516) 773-4500
Entity
Organization
Contact information
Practice address
233 E SHORE RD, SUITE 102, GREAT NECK, NY 11023-2433
(516) 773-4500
Mailing address
233 E SHORE RD, SUITE 102, GREAT NECK, NY 11023-2433
(516) 773-4500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103820
GA
Other
Enumeration date
05/25/2006
Last updated
01/06/2015
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