Organization
ADVANCED DERMATOLOGY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER NICOLAIDES MD (PRESIDENT)
(718) 728-9822
Entity
Organization
Contact information
Practice address
2318 31ST ST, SUITE 320, ASTORIA, NY 11105-2892
(718) 728-9822
(718) 728-2004
Mailing address
2318 31ST ST, SUITE 320, ASTORIA, NY 11105-2892
(718) 728-9822
(718) 728-2004
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
212075
NY
Other
Enumeration date
12/28/2006
Last updated
05/08/2019
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