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Organization

CITY CENTRAL DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BERRY MD (MD)
(718) 651-7000
Entity
Organization

Contact information

Practice address
40-37 74 STREET, ELMHURST, NY 11323
(718) 651-7000
Mailing address
40-37 74 STREET, ELMHURST, NY 11323

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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