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DR. ANNE HARDICK DACKO MD

MOHS-Micrographic Surgery >> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1487636858

Individual Registrant:
DR. ANNE  HARDICK DACKO MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
20408 ROCKAWAY POINT BLVD  BREEZY POINT, NY 11697 US
Tel: 646-421-6064  Fax: --

Contact information for business:
20408 ROCKAWAY POINT BLVD  BREEZY POINT, NY 11697-1115 US
Tel: 646-421-6064  Fax: 646-843-4701

Registration Information:
NPI: 1487636858
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ND0101XAllopathic & Osteopathic Physicians
Dermatology
MOHS-Micrographic Surgery
NY33D2064399
Y207N00000XAllopathic & Osteopathic Physicians
Dermatology
NY220931

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
02161379NY05




HEALTH CARE JOBS NY - Page 1



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