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Contact Information

LASERDERM DERMATOLOGY & COSMETIC LASER SURGERY
327 E MAIN ST
SMITHTOWN, NY11787-2905
 Phone: 631-979-0909
 Fax: 631-979-0455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LASERDERM DERMATOLOGY & COSMETIC LASER SURGERY

NPI # 1942150131
LBN Legal business name LASERDERM DERMATOLOGY & COSMETIC LASER SURGERY
Authorized official DAVID SERURE - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/29/2026
Last updated 01/29/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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