Organization
JI MEDICAL PC
Active
Other names
Kalon Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH IWANICKI (PRACTICE ADMIN)
(917) 855-0007
Entity
Organization
Contact information
Practice address
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229-4731
(917) 855-0007
Mailing address
2792 OCEAN AVE FL 2, BROOKLYN, NY 11229-4731
(917) 855-0007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
06/15/2021
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