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1619179009
VANGUARD DERMATOLOGY
BROOKLYN, NY
NPI
1619179009
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Entity Type
Organization
Authorized Contact
MICHAEL SHAPIRO
President
718-332-2999
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 234760)
Enumeration Date
2007-06-05
Last Update Date
2008-05-16
Business Address
VANGUARD DERMATOLOGY
2119 E 15TH ST
BROOKLYN, NY 11229-4314
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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