Organization
NEW YORK DERMATOLOGY & MOHS SURGERY GROUP, PLLC
Active
Other names
New York Dermatology & Skin Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA APRIL SERURE D.O. (PARTNER)
(631) 543-4888
Entity
Organization
Contact information
Practice address
225 W MONTAUK HWY, SUITE 3, HAMPTON BAYS, NY 11946-3531
(631) 728-7288
(631) 728-4010
Mailing address
353 VETERANS MEMORIAL HWY, SUITE 100, COMMACK, NY 11725-4200
(631) 543-4888
(631) 543-3549
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
205536
NY
207N00000X
Dermatology Physician
215146
NY
207N00000X
Dermatology Physician
222859
NY
207ND0101X
MOHS-Micrographic Surgery Physician
215146
NY
207ND0101X
MOHS-Micrographic Surgery Physician
222859
NY
207NS0135X
Procedural Dermatology Physician
205536
NY
207NS0135X
Procedural Dermatology Physician
222859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205536
NY STATE LICENSE
NY
01
—
222859
NY STATE LICENSE
NY
Enumeration date
10/24/2008
Last updated
03/07/2023
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