Organization
ADULT AND PEDIATRIC DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA A SUMMA D.O. (OWNER)
(561) 364-2626
Entity
Organization
Contact information
Practice address
1078 OAKS DR, FRANKLIN SQUARE, NY 11010-1941
(516) 442-0133
(516) 442-0131
Mailing address
1078 OAKS DR, FRANKLIN SQUARE, NY 11010-1941
(516) 442-0133
(516) 442-0131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2338781
NY
Other
Enumeration date
03/19/2008
Last updated
10/15/2008
Update your record
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