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Organization

ACTIVE DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLE HOWARD-VEROVIC DO (OWNER)
(201) 743-9134
Entity
Organization

Contact information

Practice address
488 DECATUR ST APT 2, BROOKLYN, NY 11233-6682
(201) 743-9134
(816) 400-0441
Mailing address
488 DECATUR ST APT 2, BROOKLYN, NY 11233-6682
(201) 743-9134
(816) 400-0441

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
09/30/2021
Last updated
09/27/2022
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