Upstate Dermatology, Pc in Castleton - Dermatology

Upstate Dermatology, Pc - NPI 1609826163

Upstate Dermatology, Pc is a Dermatology in Castleton, New York. Upstate Dermatology, Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Upstate Dermatology, Pc is 1609826163. The last update date is 2015-08-04.

Upstate Dermatology, Pc's current location address is 1547 Columbia Tpke, Castleton, New York. You can contact this provider via phone number 5184794156. The mailing address for Upstate Dermatology, Pc is 1547 Columbia Tpke, Castleton, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Upstate Dermatology, Pc
Address 1547 Columbia Tpke, Castleton, New York
Phone Number 5184794156
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gregory Neal Anthony
Credentials M.D.
Telephone Number 5186945317

NPI Number Detail

NPI Number 1609826163
Provider Enumeration Date 2006-05-12
Last Updated Date 2015-08-04

Provider Mailing Address Detail

Address 1547 Columbia Tpke
City Castleton
State New York (NY)
Post Code 120339543
Phone Number 5184794156
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 173589
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
70014246 NY RAILROAD MEDICARE (PTAN)

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FAQs about Upstate Dermatology, Pc

What is the unique provider identifier assigned to Upstate Dermatology, Pc?

The Upstate Dermatology, Pc has been issued the NPI (National Provider Identifier) 1609826163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Upstate Dermatology, Pc is geographically located?

The Upstate Dermatology, Pc is physically situated at the following location: 1547 Columbia Tpke, Castleton, NY, 120339543.

What is the Upstate Dermatology, Pc's specialty and taxonomy code?

The Upstate Dermatology, Pc's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

On what date was the 1609826163 assigned to Upstate Dermatology, Pc?

The Upstate Dermatology, Pc was issued its 1609826163 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Upstate Dermatology, Pc most recently updated or revised?

The information pertaining to Upstate Dermatology, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-04.

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