Organization
ATLANTIC DERMATOLOGIC ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN BRIAN TANKEL M.D. (PARTNER)
(516) 599-4242
Entity
Organization
Contact information
Practice address
444 MERRICK RD STE LL2, LYNBROOK, NY 11563-2400
(516) 599-4242
(516) 599-4449
Mailing address
444 MERRICK RD STE LL2, LYNBROOK, NY 11563-2400
(516) 599-4498
(516) 599-4449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
146498-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559575
—
NY
Enumeration date
07/28/2006
Last updated
12/06/2022
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