Organization
ACCREDITED DERMATOLOGY, LASER & COSMETIC SURGERY, P.C.
Active
Organization
ACCREDITED DERMATOLOGY, LASER & COSMETIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV DUDELZAK (PRESIDENT)
(718) 263-0300
Entity
Organization
Contact information
Practice address
2615 E 16TH ST, 2ND FLOOR, BROOKLYN, NY 11235-3805
(718) 263-0300
Mailing address
567 DONALD LN, WOODMERE, NY 11598-1516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
243425
NY
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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