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METRO DERMATOLOGY OF NYPC NPI 1336343268


NPI Information

NPI: 1336343268
Provider Name: METRO DERMATOLOGY OF NY,PC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 33D1105277

Address:
14472 NORTHERN BLVD STE 203
FLUSHING, NY
ZIP 11354
Phone: (718) 886-9000
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METRO DERMATOLOGY OF NY,PC is a physician assistant in Flushing, NY. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. METRO DERMATOLOGY OF NY,PC NPI is 1336343268. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14472 NORTHERN BLVD STE 203
FLUSHING, NY
ZIP 11354-231
Phone: (718) 886-9000
Fax: (718) 961-0666

The provider's authorized official is Hyun Soo Lee .
The authorized official title is Owner and has the following contact phone number (718) 886-9000.

The CLIA number assigned to this NPI record is 33D1105277 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/21/2020.


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
1207ND0900XDermatologyDermatopathology186672NEW YORKNo
2207ND0900XDermatologyDermatopathology258414NEW YORKNo
3363A00000XPhysician Assistant012705NEW YORKNo
4363A00000XPhysician Assistant012529NEW YORKNo
5363A00000XPhysician Assistant015855NEW YORKNo
6363A00000XPhysician Assistant017384NEW YORKNo
7363A00000XPhysician Assistant017273NEW YORKYes
8207N00000XDermatology191741NEW YORKNo
9207N00000XDermatology270019NEW YORKNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.