Organization
ADVANCED DERMATOLOGY LASER AND COSMETIC SURGERY P.C.
Active
Organization
ADVANCED DERMATOLOGY LASER AND COSMETIC SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYAL K LEVIT M.D. (MEDICAL DIRECTOR)
(718) 375-7546
Entity
Organization
Contact information
Practice address
1220 AVENUE P, BROOKLYN, NY 11229-1009
(718) 375-7546
(718) 376-6475
Mailing address
1220 AVENUE P, BROOKLYN, NY 11229-1009
(718) 375-7546
(718) 376-6475
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/21/2007
Last updated
10/20/2008
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