Organization
MASSAPEQUA DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B KESSLER D.O. (OWNER)
(516) 799-1600
Entity
Organization
Contact information
Practice address
70 GRAND AVE, MASSAPEQUA, NY 11758-4906
(516) 799-1600
(516) 799-1454
Mailing address
70 GRAND AVE, MASSAPEQUA, NY 11758-4906
(516) 799-1600
(516) 799-1454
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
171086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01503988
—
NY
Enumeration date
08/31/2006
Last updated
04/22/2015
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