Organization · Type 2 NPI

Long Island Skin Cancer and Dermatologic Surgery, PC

Specialist · Smithtown, NY

NPI number 1689677197 Active

Practice location

994 W Jericho Tpke, Ste 103
Smithtown, NY 11787-3211

Fax (631) 864-6001

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X226570 (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 1689677197

Long Island Skin Cancer and Dermatologic Surgery, PC's National Provider Identifier is 1689677197, issued on May 30, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smithtown, NY. The record was last updated on Aug 22, 2020.