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ISABELLE PONGE WILSON MD PC NPI 1396866281


NPI Information

NPI: 1396866281
Provider Name: ISABELLE PONGE WILSON MD PC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
50 PARK AVE
NEW YORK, NY
ZIP 10016
Phone: (212) 679-4134
Get Directions

ISABELLE PONGE WILSON MD PC is a procedural dermatology dermatology in New York, NY. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). ISABELLE PONGE WILSON MD PC NPI is 1396866281. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

50 PARK AVE
NEW YORK, NY
ZIP 10016-075
Phone: (212) 679-4134
Fax: (212) 679-7079

The provider's authorized official is Isabelle Ponge Wilson .
The authorized official title is Doctor and has the following contact phone number (212) 679-4134.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 1/3/2013.


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
1207N00000XDermatology198244NEW YORKNo
2207ND0101XDermatologyMOHS-Micrographic Surgery198244NEW YORKNo
3207NS0135XDermatologyProcedural Dermatology198244NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WEN721MEDICARE PINNEW YORK

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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