Organization
HUNTINGTON DERMATOLOGY AND COSMETICS ASSOCIATE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS J SMITH (OWNER)
(631) 424-3376
Entity
Organization
Contact information
Practice address
11 PROSPECT ST, HUNTINGTON, NY 11743
(631) 424-3376
(631) 424-0199
Mailing address
11 PROSPECT ST, HUNTINGTON, NY 11743
(631) 424-3376
(631) 424-0199
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
152208
NY
Other
Enumeration date
07/31/2006
Last updated
09/27/2007
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