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Organization

SKIN CANCER AND AESTHETIC SURGERY, P.C.

Active
Other names
Dermatology and Skin Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENE J VERGILIS-KALNER M.D. (PRESIDENT)
(917) 531-6041
Entity
Organization

Contact information

Practice address
2727 OCEAN PKWY, SUITE L1, BROOKLYN, NY 11235-7857
(718) 975-7546
(718) 975-7547
Mailing address
35 SEACOAST TER, SUITE 18M, BROOKLYN, NY 11235-6040
(917) 531-6041

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
256563
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03348170
NY
Enumeration date
06/18/2011
Last updated
05/06/2015
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