MANHASSET DERMATOLOGY P.C. NPI 1205060662

NPI Information

  • NPI: 1205060662
  • Provider Name: MANHASSET DERMATOLOGY, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1165 NORTHERN BLVD
    SUITE 405
    MANHASSET, NY
    ZIP 11030
  • Phone: (516) 365-8030

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NPI Details

MANHASSET DERMATOLOGY, P.C. is a specialist in Manhasset, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MANHASSET DERMATOLOGY, P.C. NPI is 1205060662. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1165 NORTHERN BLVD
SUITE 405
MANHASSET, NY
ZIP 11030-048
Phone: (516) 365-8030
Fax: (516) 365-8058

The provider's authorized official is John Steven Walczyk .
The authorized official title is President and has the following contact phone number (516) 365-8030.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 5/13/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist191586NEW 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: 11/21/2025

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