Organization · Type 2 NPI

Vanguard Dermatology

Specialist · Forest Hills, NY

NPI number 1336337955 Active

Practice location

11045 Queens Blvd, Unit 116
Forest Hills, NY 11375-5501

Mailing address

14568 3rd Ave
Whitestone, NY 11357-1101

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1336337955

Vanguard Dermatology's National Provider Identifier is 1336337955, issued on Oct 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Oct 9, 2007.