Bodian Dermatology Group, P.C in Great Neck - Specialist
Bodian Dermatology Group, P.C - NPI 1659412104
Bodian Dermatology Group, P.C is a Specialist in Great Neck, New York. Bodian Dermatology Group, P.C practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bodian Dermatology Group, P.C is 1659412104. The last update date is 2008-05-29.
Bodian Dermatology Group, P.C's current location address is 11 Grace Ave, Great Neck, New York. You can contact this provider via phone number 5164822882 and fax number 5164826039. The mailing address for Bodian Dermatology Group, P.C is 11 Grace Ave, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bodian Dermatology Group, P.C |
|---|---|
| Address | 11 Grace Ave, Great Neck, New York |
| Phone Number | 5164822882 |
| Fax Number | 5164826039 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bodian Ben Adam |
| Credentials | MD |
| Telephone Number | 5164822882 |
NPI Number Detail
| NPI Number | 1659412104 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 11 Grace Ave |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110212417 |
| Phone Number | 5164822882 |
| Fax Number | 5164826039 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 176289 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN7593 | NY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Bodian Dermatology Group, P.C by the Centers for Medicare & Medicaid Services (CMS)?
The Bodian Dermatology Group, P.C has been assigned the NPI (National Provider Identifier) 1659412104. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Bodian Dermatology Group, P.C located?
The Bodian Dermatology Group, P.C is located at 11 Grace Ave, Great Neck, NY 110212417.
What is Bodian Dermatology Group, P.C's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bodian Dermatology Group, P.C is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659412104 to Bodian Dermatology Group, P.C?
The Centers for Medicare & Medicaid Services originally issued the 1659412104 to Bodian Dermatology Group, P.C on 2007-02-09.
As of what date was the information pertaining to Bodian Dermatology Group, P.C, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bodian Dermatology Group, P.C, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-29.