South Nassau Dermatology in Levittown - Specialist

South Nassau Dermatology - NPI 1215125760

South Nassau Dermatology is a Specialist in Levittown, New York. South Nassau Dermatology practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Nassau Dermatology is 1215125760. The last update date is 2007-11-05.

South Nassau Dermatology's current location address is 2900 Hempstead Tpke, Levittown, New York. You can contact this provider via phone number 5165205280 and fax number 5165205283. The mailing address for South Nassau Dermatology is 2900 Hempstead Tpke, Levittown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Nassau Dermatology
Address 2900 Hempstead Tpke, Levittown, New York
Phone Number 5165205280
Fax Number 5165205283
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BOOKKEEPER
Authorized Official Name Buchholz Gloria
Telephone Number 5167660345

NPI Number Detail

NPI Number 1215125760
Provider Enumeration Date 2007-10-10
Last Updated Date 2007-11-05

Provider Mailing Address Detail

Address 2900 Hempstead Tpke
City Levittown
State New York (NY)
Post Code 117561404
Phone Number 5165205280
Fax Number 5165205283

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 126210
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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FAQs about South Nassau Dermatology

What is the South Nassau Dermatology's 1215125760?

The South Nassau Dermatology's NPI (National Provider Identifier) Number is 1215125760. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the South Nassau Dermatology's physical address?

The South Nassau Dermatology is physically located at 2900 Hempstead Tpke, in the city of Levittown, NY, with the postal code 117561404.

What is South Nassau Dermatology's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The South Nassau Dermatology's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215125760 to South Nassau Dermatology?

The Centers for Medicare & Medicaid Services assigned the 1215125760 to South Nassau Dermatology on 2007-10-10.

When was the information regarding South Nassau Dermatology, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to South Nassau Dermatology, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-05.

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