Organization
MERRICK DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M ROSENTHAL M.D. (PRESIDENT)
(516) 489-8060
Entity
Organization
Contact information
Practice address
1548 JERUSALEM AVE, MERRICK, NY 11566-1344
(516) 489-8060
(516) 489-8813
Mailing address
1548 JERUSALEM AVE, MERRICK, NY 11566-1344
(516) 489-8060
(516) 489-8813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
07/21/2009
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