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MEMORIAL SLOAN-KETTERING CANCER CENTER SUFFOLK AT HAUPPAUGE NPI 1669443123


NPI Information

NPI: 1669443123
Provider Name: MEMORIAL SLOAN-KETTERING CANCER CENTER SUFFOLK AT HAUPPAUGE

Doing Business As: MSKCC SUFFOLK @ HAUPPAUGE

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 33D1003644

Address:
800 VETERANS MEMORIAL HWY
HAUPPAUGE, NY
ZIP 11788
Phone: (212) 639-2000
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MEMORIAL SLOAN-KETTERING CANCER CENTER SUFFOLK AT HAUPPAUGE is a dermatology in Hauppauge, NY. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MEMORIAL SLOAN-KETTERING CANCER CENTER SUFFOLK AT HAUPPAUGE NPI is 1669443123. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mskcc Suffolk @ Hauppauge.

The provider's business location address is:

800 VETERANS MEMORIAL HWY
HAUPPAUGE, NY
ZIP 11788-948
Phone: (212) 639-2000

The provider's authorized official is Salvatore M Andreozzi .
The authorized official title is Associate Director and has the following contact phone number (646) 227-3751.

The CLIA number assigned to this NPI record is 33D1003644 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 6/18/2008.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207N00000XDermatologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W35101MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

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