Organization
ADVANCED DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS LIPPNER (ADMINISTRATOR)
(516) 326-4160
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, BLDG 10, STONY BROOK, NY 11790-2555
(631) 689-3188
(631) 751-6644
Mailing address
6 LOWELL AVE, NEW HYDE PARK, NY 11040-2810
(516) 326-4160
(516) 437-0482
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us