Organization
NY COSMETIC SKIN AND LASER SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON K ROKHSAR M.D. (ADMINISTRATOR)
(516) 512-7616
Entity
Organization
Contact information
Practice address
901 STEWART AVE, SUITE 240, GARDEN CITY, NY 11530-4893
(516) 512-7616
(516) 512-7617
Mailing address
901 STEWART AVE, SUITE 240, GARDEN CITY, NY 11530-4893
(516) 512-7616
(516) 512-7617
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
214852
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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