Marina I Peredo Md Pc in Smithtown - Dermatology
Marina I Peredo Md Pc - NPI 1427026392
Marina I Peredo Md Pc is a Dermatology in Smithtown, New York. Marina I Peredo Md Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Marina I Peredo Md Pc is 1427026392. The last update date is 2008-07-10.
Marina I Peredo Md Pc's current location address is 260 Middle Country Rd, Smithtown, New York. You can contact this provider via phone number 6318633223 and fax number 6318633334. The mailing address for Marina I Peredo Md Pc is 260 Middle Country Rd, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marina I Peredo Md Pc |
|---|---|
| Address | 260 Middle Country Rd, Smithtown, New York |
| Phone Number | 6318633223 |
| Fax Number | 6318633334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Peredo I Marina |
| Credentials | MD PC |
| Telephone Number | 6318633221 |
NPI Number Detail
| NPI Number | 1427026392 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 260 Middle Country Rd |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 11787 |
| Phone Number | 6318633223 |
| Fax Number | 6318633334 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 190716 |
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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 |
|---|---|---|---|
| 1836915 | NY | -- |
Post Comment/ Review Below
What is the Marina I Peredo Md Pc's unique identification number?
The Marina I Peredo Md Pc has been assigned the NPI (National Provider Identifier) Number 1427026392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Marina I Peredo Md Pc's facilities are geographically located?
The facilities of Marina I Peredo Md Pc are physically situated at the following location: 260 Middle Country Rd, Smithtown, NY, 11787.
What is the Marina I Peredo Md Pc's area of specialization and corresponding taxonomy classification?
The Marina I Peredo Md Pc's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did Marina I Peredo Md Pc receive its 1427026392 assignment from the Centers for Medicare & Medicaid Services?
The Marina I Peredo Md Pc was assigned its 1427026392 on 2006-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Marina I Peredo Md Pc most recently updated or revised?
The information pertaining to Marina I Peredo Md Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-10.