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Individual

MISS DANIELLE DECESARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
ADVANCED DERMATOLOGY, PC, 2627 B HYLAN BLVD (LOWER LEVEL), STATEN ISLAND, NY 10306
(718) 351-8101
(718) 667-0250
Mailing address
6 LOWELL AVE, NEW HYDE PARK, NY 11040
(516) 326-4160
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017927
NY

Other

Enumeration date
11/24/2014
Last updated
10/04/2022
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