CLOUDLAKE DERMATOLOGY PLLC

JERICHO, NY
NPI1083164354
Entity TypeOrganization
Authorized ContactSARIKA BANKER
Owner
516-992-6350
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NY  263656-1)
Enumeration Date2016-10-10
Last Update Date2017-11-20
Business Address
CLOUDLAKE DERMATOLOGY PLLC
400 N BROADWAY
JERICHO, NY 11753-2113
Phone number: 516-992-6350
Mailing Address
CLOUDLAKE DERMATOLOGY PLLC
400 N BROADWAY
JERICHO, NY 11753-2113
Phone number: 516-992-6350
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