Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bodian Dermatology Group, PC

Organization Specialist · NPI 1659412104

Bodian Dermatology Group, PC is a Specialist in Great Neck, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

11 Grace Ave Ste 100
Great Neck, NY 11021-2417
Phone: (516) 482-2882
Fax: (516) 482-6039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 176289 (NY)

Record details

NPI number1659412104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Bodian — President · (516) 482-2882
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMay 29, 2008
Mailing address11 Grace Ave, Suite 100, Great Neck, NY 11021-2417

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