Organization
SIMPLY DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEROY PAPANTONIOU MD (MEDICAL DIRECTOR)
(631) 377-7222
Entity
Organization
Contact information
Practice address
900 WALT WHITMAN RD STE 101, MELVILLE, NY 11747-2215
(631) 377-7222
(631) 621-5021
Mailing address
900 WALT WHITMAN RD STE 101, MELVILLE, NY 11747-2215
(631) 377-7222
(631) 621-5021
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
253792
NY
Other
Enumeration date
10/02/2017
Last updated
02/22/2018
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