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Organization

BELARAY DERMATOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY ELIZABETH SLEAR MD (VICE PRESIDENT)
(516) 822-7546
Entity
Organization

Contact information

Practice address
358 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
(516) 822-7546
(516) 937-7546
Mailing address
358 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
(516) 822-7546
(516) 937-7546

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207W00000X
Ophthalmology Physician
240262
NY

Other

Enumeration date
07/13/2007
Last updated
11/02/2021
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