Advanced Dermatology Of New York Pc in Bronx - Dermatology
Advanced Dermatology Of New York Pc - NPI 1508048240
Advanced Dermatology Of New York Pc is a Dermatology in Bronx, New York. Advanced Dermatology Of New York Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Advanced Dermatology Of New York Pc is 1508048240. The last update date is 2014-12-10.
Advanced Dermatology Of New York Pc's current location address is 291 E 149th St, Bronx, New York. You can contact this provider via phone number 7187421000 and fax number 2127653210. The mailing address for Advanced Dermatology Of New York Pc is 291 E 149th St, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dermatology Of New York Pc |
|---|---|
| Address | 291 E 149th St, Bronx, New York |
| Phone Number | 7187421000 |
| Fax Number | 2127653210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Jaeger D Lawrence |
| Credentials | D.O. |
| Telephone Number | 2122622500 |
NPI Number Detail
| NPI Number | 1508048240 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2014-12-10 |
Provider Mailing Address Detail
| Address | 291 E 149th St |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104515601 |
| Phone Number | 7187421000 |
| Fax Number | 2127653210 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508048240 | NPI |
Post Comment/ Review Below
What is the Advanced Dermatology Of New York Pc's 1508048240?
The Advanced Dermatology Of New York Pc's NPI (National Provider Identifier) Number is 1508048240. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Advanced Dermatology Of New York Pc located?
The Advanced Dermatology Of New York Pc is located at 291 E 149Th St, Bronx, NY 104515601.
What is Advanced Dermatology Of New York Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Advanced Dermatology Of New York Pc is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Advanced Dermatology Of New York Pc receive the assignment of its 1508048240 from the Centers for Medicare & Medicaid Services?
The Advanced Dermatology Of New York Pc was issued its 1508048240 by the Centers for Medicare & Medicaid Services on 2007-12-05.
As of what date were the details pertaining to Advanced Dermatology Of New York Pc last refreshed?
The information related to the Advanced Dermatology Of New York Pc, including its address, specialty, and other relevant details, was last updated on 2014-12-10.