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Organization

BRIDGEVIEW DERMATOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TEJAS PATEL MD (PRESIDENT)
(929) 200-3003
Entity
Organization

Contact information

Practice address
2955 VETERANS RD W STE 2F, STATEN ISLAND, NY 10309-2504
(929) 200-3003
(929) 224-0696
Mailing address
2955 VETERANS RD W STE 2F, STATEN ISLAND, NY 10309-2504
(929) 200-3003
(929) 224-0696

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
282042-
NY
207NS0135X
Procedural Dermatology Physician
Primary
282042-1
NY

Other

Enumeration date
04/06/2017
Last updated
08/28/2025
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