Organization
LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA HOLLANDER (PRACTICE MANAGER)
(631) 864-6647
Entity
Organization
Contact information
Practice address
994 W JERICHO TPKE, SUITE 103, SMITHTOWN, NY 11787-3235
(631) 864-6647
(631) 864-6001
Mailing address
994 W JERICHO TPKE, SUITE 103, SMITHTOWN, NY 11787-3235
(631) 864-6647
(631) 864-6001
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
NY
Other
Enumeration date
06/12/2007
Last updated
10/03/2007
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