Jackson Heights Llc in Long Island City - Dermatology

Jackson Heights Llc - NPI 1356469969

Jackson Heights Llc is a Dermatology in Long Island City, New York. Jackson Heights Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jackson Heights Llc is 1356469969. The last update date is 2008-06-16.

Jackson Heights Llc's current location address is 3141 45th St, Long Island City, New York. You can contact this provider via phone number 7187211500 and fax number 7187771623. The mailing address for Jackson Heights Llc is 3141 45th St, Long Island City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jackson Heights Llc
Address 3141 45th St, Long Island City, New York
Phone Number 7187211500
Fax Number 7187771623
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Patel R Bhupendra
Credentials MD
Telephone Number 7183355800

NPI Number Detail

NPI Number 1356469969
Provider Enumeration Date 2007-03-26
Last Updated Date 2008-06-16

Provider Mailing Address Detail

Address 3141 45th St
City Long Island City
State New York (NY)
Post Code 111031621
Phone Number 7187211500
Fax Number 7187771623

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
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
1873707 NY --

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FAQs about Jackson Heights Llc

What is the unique identifier code issued to Jackson Heights Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Jackson Heights Llc has been assigned the NPI (National Provider Identifier) 1356469969. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jackson Heights Llc?

The Jackson Heights Llc is situated at 3141 45Th St, in the city of Long Island City, state of NY, with the zip code 111031621.

What is Jackson Heights Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jackson Heights Llc's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.

When did Jackson Heights Llc receive its 1356469969 assignment?

The Jackson Heights Llc was assigned its 1356469969 on 2007-03-26, which is the date when this unique identifier was issued to the organization.

As of what date were the Jackson Heights Llc's details last updated?

The information pertaining to the Jackson Heights Llc, including its address, specialty, and other details, was most recently updated on 2008-06-16.

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