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1578138343
GOLD COAST DERMATOLOGY PC
COMMACK, NY
NPI
1578138343
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Entity Type
Organization
Authorized Contact
CHARISSE L MCCALL
President
631-467-4653
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2021-05-25
Last Update Date
2021-08-25
Business Address
GOLD COAST DERMATOLOGY PC
149 COMMACK RD STE B
COMMACK, NY 11725-3459
Phone number: 631-467-4653
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Mailing Address
GOLD COAST DERMATOLOGY PC
149 COMMACK RD STE B
COMMACK, NY 11725-3459
Phone number: 631-467-4653
Copy
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