Organization · Type 2 NPI

Bodian Dermatology Group, P.c

Specialist · Great Neck, NY

NPI number 1659412104 Active

Practice location

11 Grace Ave, Suite 100
Great Neck, NY 11021-2417

Call (516) 482-2882 Map

Fax (516) 482-6039

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X176289 (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 1659412104

Bodian Dermatology Group, P.c's National Provider Identifier is 1659412104, issued on Feb 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Great Neck, NY. The record was last updated on May 29, 2008.