Organization
LONG ISLAND MOHS SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARINA RIZZO MD (PRESIDENT)
(347) 525-5721
Entity
Organization
Contact information
Practice address
877 STEWART AVE STE 27, GARDEN CITY, NY 11530-4803
(516) 745-0606
Mailing address
877 STEWART AVE STE 27, GARDEN CITY, NY 11530-4803
(516) 745-0606
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
241318
NY
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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