Organization · Type 2 NPI

Dermedx Dermatology PC

Specialist · Smithtown, NY

NPI number 1104944032 Active

Practice location

222 E Main St, Suite 228
Smithtown, NY 11787-2871

Fax (631) 265-9363

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X195658 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104944032

Dermedx Dermatology PC's National Provider Identifier is 1104944032, issued on Mar 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smithtown, NY. The record was last updated on Jul 8, 2011.