| NPI | 1528758554 |
|---|---|
| Former Legal Business Name | NASSAU COUNTY DERMATOLOGY PLLC |
| Entity Type | Organization |
| Authorized Contact | ANIMESH SINHA Officer 561-314-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |