| NPI | 1528837218 |
|---|---|
| Doing Business As | STONEGATE DERMATOLOGY AND MEDICAL SPA |
| Entity Type | Organization |
| Authorized Contact | RIDDHI JAY SHAH Physician 516-263-0167 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |