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BRIDGEVIEW DERMATOLOGY PLLC NPI 1003349986


NPI Information

NPI: 1003349986
Provider Name: BRIDGEVIEW DERMATOLOGY, PLLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 33D2198342

Address:
9920 4TH AVE
SUITE 313
BROOKLYN, NY
ZIP 11209
Phone: (929) 200-3003
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BRIDGEVIEW DERMATOLOGY, PLLC is a mohs-micrographic surgery dermatology in Brooklyn, NY. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. BRIDGEVIEW DERMATOLOGY, PLLC NPI is 1003349986. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9920 4TH AVE
SUITE 313
BROOKLYN, NY
ZIP 11209-333
Phone: (929) 200-3003
Fax: (929) 224-0696

The provider's authorized official is Tejas Patel .
The authorized official title is President and has the following contact phone number (929) 200-3003.

The CLIA number assigned to this NPI record is 33D2198342 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/6/2017 and was last updated on 8/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology282042-1NEW YORKNo
2207ND0101XDermatologyMOHS-Micrographic Surgery282042-NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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