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ROCHESTER DERMATOLOGIC SURGERY PC NPI 1770149080


NPI Information

NPI: 1770149080
Provider Name: ROCHESTER DERMATOLOGIC SURGERY PC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 33D2168114

Address:
7400 PITTSFORD VICTOR RD
VICTOR, NY
ZIP 14564
Phone: (585) 222-1400
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ROCHESTER DERMATOLOGIC SURGERY PC is a mohs-micrographic surgery dermatology in Victor, NY. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. ROCHESTER DERMATOLOGIC SURGERY PC NPI is 1770149080. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7400 PITTSFORD VICTOR RD
VICTOR, NY
ZIP 14564-725
Phone: (585) 222-1400
Fax: (585) 222-1414

The provider's authorized official is Sherrif F Ibrahim .
The authorized official title is Owner and has the following contact phone number (206) 915-3484.

The CLIA number assigned to this NPI record is 33D2168114 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/13/2019 and was last updated on 5/29/2019.


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
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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: 11/14/2023

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