Organization
STACEY F BRISMAN MD PC
Active
Other names
Walk-In Dermatology, Walk- In Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY F BRISMAN MD (MANAGING PARTNER)
(516) 200-3545
Entity
Organization
Contact information
Practice address
50 GLEN COVE RD, GREENVALE, NY 11548-1062
(516) 621-1982
(516) 621-1340
Mailing address
PO BOX 1153, SYOSSET, NY 11791-0489
(516) 621-1982
(516) 621-1340
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
02/09/2023
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