Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Long Island Skin Cancer and Dermatologic Surgery, PC

Organization Specialist · NPI 1689677197

Long Island Skin Cancer and Dermatologic Surgery, PC provides Specialist services in Smithtown, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

994 W Jericho Tpke Ste 103
Smithtown, NY 11787-3211
Phone: (631) 864-6647
Fax: (631) 864-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 226570 (NY)

Record details

NPI number1689677197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Wong — Secretary/Treasurer · (347) 524-4033
NPI enumeratedMay 30, 2005
Last updated in NPPESAugust 22, 2020
Mailing address994 W Jericho Tpke, Ste 103, Smithtown, NY 11787-3211

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