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Organization

COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT H GOTKIN MD (PARTNER)
(516) 484-9000
Entity
Organization

Contact information

Practice address
31 NORTHERN BLVD, GREENVALE, NY 11548-1320
(516) 484-9000
(516) 484-7549
Mailing address
31 NORTHERN BLVD, GREENVALE, NY 11548-1320
(516) 484-9000
(516) 484-7549

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
146515
NY
208200000X
Plastic Surgery Physician
147060-1
NY

Other

Enumeration date
07/26/2005
Last updated
06/26/2008
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