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Organization

JI MEDICAL PC

Active
Other names
Kalon Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH IWANICKI (PRACTICE OWNER)
(917) 855-0007
Entity
Organization

Contact information

Practice address
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229-4731
(917) 855-0007
Mailing address
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229-4731

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/11/2021
Last updated
06/15/2021
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