Organization
SEAVIEW SKIN CANCER SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA PELORO MD (MOHS SURGEON)
(732) 995-2967
Entity
Organization
Contact information
Practice address
256 MASON AVE # C, THIRD FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1251
(718) 226-1252
Mailing address
256 MASON AVE # C, THIRD FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1251
(718) 226-1252
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
201613-1
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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