PITTSFORD DERMATOLOGY PLLC NPI 1669644696

NPI Information

  • NPI: 1669644696
  • Provider Name: PITTSFORD DERMATOLOGY, PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 33D1010014
  • Address: 115 SULLYS TRL
    SUITE 2
    PITTSFORD, NY
    ZIP 14534
  • Phone: (585) 389-1960

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NPI Details

PITTSFORD DERMATOLOGY, PLLC is a specialist in Pittsford, 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. PITTSFORD DERMATOLOGY, PLLC NPI is 1669644696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 SULLYS TRL
SUITE 2
PITTSFORD, NY
ZIP 14534-571
Phone: (585) 389-1960
Fax: (585) 389-1947

The provider's authorized official is Helen Strapko .
The authorized official title is Owner and has the following contact phone number (585) 389-1960.

The CLIA number assigned to this NPI record is 33D1010014 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/31/2008 and was last updated on 11/20/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist202000NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AA1544MEDICARE PINNEW YORK
2G67455MEDICARE UPINNEW 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: 11/21/2025

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