UPSTATE DERMATOPATHOLOGY PLLC NPI 1790567774

NPI Information

  • NPI: 1790567774
  • Provider Name: UPSTATE DERMATOPATHOLOGY PLLC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • CLIA Number: 33D2291979
  • Address: 6400 SHERIDAN DR STE 224
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 334-0357

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NPI Details

UPSTATE DERMATOPATHOLOGY PLLC is a dermatopathology dermatology in Williamsville, NY. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. UPSTATE DERMATOPATHOLOGY PLLC NPI is 1790567774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6400 SHERIDAN DR STE 224
WILLIAMSVILLE, NY
ZIP 14221-842
Phone: (716) 334-0357

The provider's authorized official is Liaqat Ali .
The authorized official title is Medical Director/owner and has the following contact phone number (716) 574-6513.

The CLIA number assigned to this NPI record is 33D2291979 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/16/2023 and was last updated on 10/16/2023.

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
1207ND0900XDermatologyDermatopathologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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