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NEW YORK DERMATOLOGY SERVICES PLLC NPI 1679820765


NPI Information

NPI: 1679820765
Provider Name: NEW YORK DERMATOLOGY SERVICES, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 33D2046971

Address:
19 BOWERY, 2/FL., SUITE 1
NEW YORK, NY
ZIP 10002
Phone: (212) 308-7868
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NEW YORK DERMATOLOGY SERVICES, PLLC is a clinic center in New York, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NEW YORK DERMATOLOGY SERVICES, PLLC NPI is 1679820765. The provider is registered as an organization entity type.

The provider's business location address is:

19 BOWERY, 2/FL., SUITE 1
NEW YORK, NY
ZIP 10002
Phone: (212) 308-7868

The provider's authorized official is Irene Lu .
The authorized official title is Medical Doctor and has the following contact phone number (212) 308-7868.

The CLIA number assigned to this NPI record is 33D2046971 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/8/2012 and was last updated on 12/27/2012.


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
1261Q00000XClinic/Center204984NEW YORKYes

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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