South Nassau Dermatology P.C. in Oceanside - Specialist
South Nassau Dermatology P.C. - NPI 1144272899
South Nassau Dermatology P.C. is a Specialist in Oceanside, New York. South Nassau Dermatology P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Nassau Dermatology P.C. is 1144272899. The last update date is 2018-08-27.
South Nassau Dermatology P.C.'s current location address is 258 Merrick Rd, Oceanside, New York. You can contact this provider via phone number 5167660345 and fax number 5167664690. The mailing address for South Nassau Dermatology P.C. is 258 Merrick Rd, Oceanside, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Nassau Dermatology P.C. |
|---|---|
| Address | 258 Merrick Rd, Oceanside, New York |
| Phone Number | 5167660345 |
| Fax Number | 5167664690 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leichter M Carl |
| Credentials | M.D. |
| Telephone Number | 5167660345 |
NPI Number Detail
| NPI Number | 1144272899 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2018-08-27 |
Provider Mailing Address Detail
| Address | 258 Merrick Rd |
|---|---|
| City | Oceanside |
| State | New York (NY) |
| Post Code | 115721427 |
| Phone Number | 5167660345 |
| Fax Number | 5167664690 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 126210 |
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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 South Nassau Dermatology P.C.'s 1144272899?
The South Nassau Dermatology P.C.'s NPI (National Provider Identifier) Number is 1144272899. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the area of specialization for South Nassau Dermatology P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Nassau Dermatology P.C. is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the South Nassau Dermatology P.C.'s 1144272899 issued?
The South Nassau Dermatology P.C.'s 1144272899 was issued on 2006-05-17.
On what date did the Centers for Medicare & Medicaid Services issue the 1144272899 to South Nassau Dermatology P.C.?
The South Nassau Dermatology P.C. received its 1144272899 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information pertaining to South Nassau Dermatology P.C. most recently updated or revised?
The details related to South Nassau Dermatology P.C., including its address, specialty, and other relevant information, were last updated or revised on 2018-08-27.