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1447642103
PARK AVENUE DERMATOLOGY
STATEN ISLAND, NY
NPI
1447642103
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Entity Type
Organization
Authorized Contact
AMANDA DICK
Ofice Manager
718-981-5040
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: NY 018032)
Enumeration Date
2015-03-04
Last Update Date
2015-03-04
Business Address
PARK AVENUE DERMATOLOGY
31 TIOGA ST
STATEN ISLAND, NY 10301
Phone number: 718-981-5040
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Mailing Address
PARK AVENUE DERMATOLOGY
31 TIOGA ST
STATEN ISLAND, NY 10301
Phone number: 718-981-5040
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