Organization
SUFFOLK DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID I SILVERSTEIN M.D. (OWNER)
(631) 648-0101
Entity
Organization
Contact information
Practice address
500 PORTION RD STE 12, RONKONKOMA, NY 11779-4587
(631) 648-0101
(631) 648-0191
Mailing address
500 PORTION RD STE 11, RONKONKOMA, NY 11779-4587
(631) 648-0101
(631) 648-0191
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
256750
NY
Other
Enumeration date
09/14/2015
Last updated
09/22/2015
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