PAN DERMATOLOGY PC NPI 1821164096

NPI Information

  • NPI: 1821164096
  • Provider Name: PAN DERMATOLOGY, PC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • CLIA Number: 33D1062706
  • Address: 105 EVERETT RD
    COLONIE, NY
    ZIP 12205
  • Phone: (518) 694-0999

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NPI Details

PAN DERMATOLOGY, PC is a dermatopathology dermatology in Colonie, 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. PAN DERMATOLOGY, PC NPI is 1821164096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 EVERETT RD
COLONIE, NY
ZIP 12205-407
Phone: (518) 694-0999

The provider's authorized official is Teddy D Pan .
The authorized official title is Principal Owner and has the following contact phone number (518) 694-0999.

The CLIA number assigned to this NPI record is 33D1062706 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 2/17/2017.

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
1207ND0900XDermatologyDermatopathology239724-1NEW 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
1BA1038MEDICARE PINNEW 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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