Organization
SAG HARBOR SKIN AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MALDONADO (MEDICAL BILLER)
(212) 517-6555
Entity
Organization
Contact information
Practice address
34 BAY ST, SAG HARBOR, NY 11963-3104
(212) 517-6555
(212) 472-6796
Mailing address
700 PARK AVE, NEW YORK, NY 10021-0104
(212) 517-6555
(212) 472-6796
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
09/17/2025
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