Organization
DERMATOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SKROKOV M.D (PRESIDENT)
(631) 666-0500
Entity
Organization
Contact information
Practice address
332 E MAIN ST, BAY SHORE, NY 11706-8404
(631) 666-0500
(631) 666-0503
Mailing address
332 E MAIN ST, BAY SHORE, NY 11706-8404
(631) 666-0500
(631) 666-0503
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
02/17/2015
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