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1336337955
VANGUARD DERMATOLOGY
FOREST HILLS, NY
NPI
1336337955
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Entity Type
Organization
Authorized Contact
MICHAEL SHAPIRO
President
718-332-2999
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
VANGUARD DERMATOLOGY
11045 QUEENS BLVD UNIT 116
FOREST HILLS, NY 11375-5501
Phone number: 718-332-2999
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Mailing Address
VANGUARD DERMATOLOGY
14568 3RD AVE
WHITESTONE, NY 11357-1101
Phone number: 718-332-2999
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