Jeffrey Bruce Pardes in Bay Shore - Dermatology

Jeffrey Bruce Pardes - NPI 1487614319

Jeffrey Bruce Pardes is a Dermatology in Bay Shore, New York. Jeffrey Bruce Pardes practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeffrey Bruce Pardes is 1487614319. The last update date is 2008-09-16.

Jeffrey Bruce Pardes's current location address is 332 E Main St, Bay Shore, New York. You can contact this provider via phone number 6316660500 and fax number 6316660503. The mailing address for Jeffrey Bruce Pardes is 332 E Main St, Bay Shore, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Bruce Pardes
Address 332 E Main St, Bay Shore, New York
Phone Number 6316660500
Fax Number 6316660503
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487614319
Provider Enumeration Date 2006-03-24
Last Updated Date 2008-09-16

Provider Mailing Address Detail

Address 332 E Main St
City Bay Shore
State New York (NY)
Post Code 117068404
Phone Number 6316660500
Fax Number 6316660503

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 201998
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1650059 NY --

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FAQs about Jeffrey Bruce Pardes

What is the unique 10-digit identification code issued to Jeffrey Bruce Pardes by the Centers for Medicare & Medicaid Services?

The Jeffrey Bruce Pardes has been assigned the NPI (National Provider Identifier) 1487614319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Jeffrey Bruce Pardes is geographically located?

The Jeffrey Bruce Pardes is physically situated at the following location: 332 E Main St, Bay Shore, NY, 117068404.

What is Jeffrey Bruce Pardes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jeffrey Bruce Pardes's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487614319 to Jeffrey Bruce Pardes?

The Centers for Medicare & Medicaid Services assigned the 1487614319 to Jeffrey Bruce Pardes on 2006-03-24.

When was the information pertaining to Jeffrey Bruce Pardes most recently updated or revised?

The details related to Jeffrey Bruce Pardes, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-16.

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