New Age Dermatology Pllc in Middle Village - Specialist
New Age Dermatology Pllc - NPI 1245347079
New Age Dermatology Pllc is a Specialist in Middle Village, New York. New Age Dermatology Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for New Age Dermatology Pllc is 1245347079. The last update date is 2020-08-22.
New Age Dermatology Pllc's current location address is 7812 Metropolitan Ave, Middle Village, New York. You can contact this provider via phone number 7184164600. The mailing address for New Age Dermatology Pllc is 7812 Metropolitan Ave, Middle Village, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | New Age Dermatology Pllc |
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Address | 7812 Metropolitan Ave, Middle Village, New York |
Phone Number | 7184164600 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Ilarda Isabella |
Credentials | MD |
Telephone Number | 9736167117 |
NPI Number Detail
NPI Number | 1245347079 |
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Provider Enumeration Date | 2006-08-25 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 7812 Metropolitan Ave |
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City | Middle Village |
State | New York (NY) |
Post Code | 113792900 |
Phone Number | 7184164600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 206401 |
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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What is the unique 10-digit identifier code issued to New Age Dermatology Pllc by the Centers for Medicare & Medicaid Services?
The New Age Dermatology Pllc has been assigned the NPI (National Provider Identifier) 1245347079 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where New Age Dermatology Pllc is located?
The New Age Dermatology Pllc is situated at the following address: 7812 Metropolitan Ave, Middle Village, NY, 113792900.
What is the area of specialization for New Age Dermatology Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for New Age Dermatology Pllc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the New Age Dermatology Pllc receive its 1245347079 assignment from the Centers for Medicare & Medicaid Services?
The New Age Dermatology Pllc was assigned its 1245347079 by the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date was the information regarding New Age Dermatology Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to New Age Dermatology Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.