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NPI Code Detail

MEDICARE: VISITING DERMATOLOGY PLLC

MEDICARE: VISITING DERMATOLOGY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1639639123
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING DERMATOLOGY PLLC
Provider Business Mailing Address
First Line : 450 WAVERLY AVE STE 2
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-1555
Country : US
Telephone Number : 631-569-2475
Fax Number : 631-223-1900
Provider Business Practice Location Address
First Line : 400 GARDEN CITY PLZ STE 111
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-3336
Country : US
Telephone Number : 516-246-8800
Fax Number : 516-559-4617
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. NAVIN ARORA
Credential : DO
Telephone Number : 516-246-8800
Provider Enumeration Date : 03/21/2019
Last Update Date : 07/07/2022

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Directions to “VISITING DERMATOLOGY PLLC ” Practice Location

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