Organization
SONDERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYUNGAH CLAIRE AN (OFFICE MANAGER)
(201) 944-3800
Entity
Organization
Contact information
Practice address
16410 NORTHERN BLVD, STE. 213, FLUSHING, NY 11358-2677
(201) 944-3800
Mailing address
164-10 NORTHERN BLVD., STE 213, FLUSHING, NY 11358
(201) 944-3800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2558341
NY
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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