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CHILDREN'S SKIN AND LASER PC NPI 1265618532


NPI Information

NPI: 1265618532
Provider Name: CHILDREN'S SKIN AND LASER, PC

Doing Business As: BROOKLYN DERMATOLOGY

Classification: Dermatology - 207NP0225X
Entity Type: Organization

Specialization: Pediatric Dermatology

Address:
440 ATLANTIC AVE
GROUND FLOOR
BROOKLYN, NY
ZIP 11217
Phone: (718) 797-5504
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CHILDREN'S SKIN AND LASER, PC is a pediatric dermatology dermatology in Brooklyn, NY. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. CHILDREN'S SKIN AND LASER, PC NPI is 1265618532. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Brooklyn Dermatology.

The provider's business location address is:

440 ATLANTIC AVE
GROUND FLOOR
BROOKLYN, NY
ZIP 11217-143
Phone: (718) 797-5504
Fax: (718) 797-5645

The provider's authorized official is Sourab Patrick Choudhury .
The authorized official title is President and has the following contact phone number (718) 797-5504.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 11/1/2016.


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
1207N00000XDermatology226018NEW YORKNo
2207NS0135XDermatologyProcedural Dermatology226018NEW YORKNo
3207NP0225XDermatologyPediatric Dermatology226018NEW 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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