Organization
EPOCH DERMATOLOGY PLLC
Active
Organization
EPOCH DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LEE MD (OWNER)
(814) 397-5121
Entity
Organization
Contact information
Practice address
520 FRANKLIN AVE STE 211, GARDEN CITY, NY 11530-5815
(814) 397-5121
Mailing address
77 W 24TH ST APT 15H, NEW YORK, NY 10010-3223
(814) 397-4121
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
09/27/2023
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