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EASTSIDE DERMATOLOGY SERVICES P.C. NPI 1023063906


NPI Information

NPI: 1023063906
Provider Name: EASTSIDE DERMATOLOGY SERVICES P.C.

Doing Business As: LASER & SKIN SURGERY CENTER OF NEW YORK

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
317 E 34TH ST
11TH FLOOR
NEW YORK, NY
ZIP 10016
Phone: (212) 686-7306
Get Directions

EASTSIDE DERMATOLOGY SERVICES P.C. is a mohs-micrographic surgery dermatology in New York, 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. EASTSIDE DERMATOLOGY SERVICES P.C. NPI is 1023063906. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Laser & Skin Surgery Center Of New York.

The provider's business location address is:

317 E 34TH ST
11TH FLOOR
NEW YORK, NY
ZIP 10016-974
Phone: (212) 686-7306
Fax: (212) 686-7305

The provider's authorized official is Roy G Geronemus .
The authorized official title is Director and has the following contact phone number (212) 686-7306.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/11/2022.


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
1174400000XSpecialistNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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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