Organization
LABORATORY OF DERMATOPATHOLOGY, LLP
Active
Parent organization
AURORA DIAGNOSTIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AURORA DIAGNOSTIC, LLC
Authorized official
MR. MARTIN J STEFANELLI (CHIEF OPERATING OFFICER)
(516) 944-3882
Entity
Organization
Contact information
Practice address
2 N PLANDOME RD, PORT WASHINGTON, NY 11050-3443
(516) 944-3882
Mailing address
2 N PLANDOME RD, PORT WASHINGTON, NY 11050-3443
(516) 944-3882
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
04/25/2008
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