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Organization

ADVANCED DERMATOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEWIS LIPPNER (ADMINISTRATOR)
(516) 326-4160
Entity
Organization

Contact information

Practice address
6 LOWELL AVE, NEW HYDE PARK, NY 11040
(516) 326-4160
(516) 437-0482
Mailing address
6 LOWELL AVE, NEW HYDE PARK, NY 11040
(516) 326-4160
(516) 437-0482

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/19/2006
Last updated
10/30/2008
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