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ADVANCED DERMATOLOGY OF NEW YORK PC NPI 1598195695


NPI Information

NPI: 1598195695
Provider Name: ADVANCED DERMATOLOGY OF NEW YORK, PC

Doing Business As: ADVANCED DERMATOLOGY ASSOCIATES

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2432 GRAND CONCOURSE
BRONX, NY
ZIP 10458
Phone: (718) 671-1000
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ADVANCED DERMATOLOGY OF NEW YORK, PC is a specialist in Bronx, 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. ADVANCED DERMATOLOGY OF NEW YORK, PC NPI is 1598195695. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Dermatology Associates.

The provider's business location address is:

2432 GRAND CONCOURSE
BRONX, NY
ZIP 10458-204
Phone: (718) 671-1000
Fax: (212) 765-3210

The provider's authorized official is Lawrence D Jaeger .
The authorized official title is Officer and has the following contact phone number (212) 262-2500.

The enumeration date for this NPI number is 11/26/2013 and was last updated on 12/10/2014.


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
1174400000XSpecialistYes

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

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.