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LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY PC NPI 1851595094


NPI Information

NPI: 1851595094
Provider Name: LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
994 W JERICHO TPKE
SUITE 103
SMITHTOWN, NY
ZIP 11787
Phone: (631) 864-6647
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LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC is a procedural dermatology dermatology in Smithtown, NY. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). LONG ISLAND SKIN CANCER & DERMATOLOGIC SURGERY, PC NPI is 1851595094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

994 W JERICHO TPKE
SUITE 103
SMITHTOWN, NY
ZIP 11787-235
Phone: (631) 864-6647
Fax: (631) 864-6001

The provider's authorized official is Marcia Hollander .
The authorized official title is Practice Manager and has the following contact phone number (631) 864-6647.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 10/3/2007.


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
1207NS0135XDermatologyProcedural DermatologyNEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I24844MEDICARE UPINNEW YORK
2B57924MEDICARE UPINNEW YORK
3WEX411MEDICARE PINNEW YORK
460F111MEDICARE PINNEW YORK
53K4531MEDICARE PINNEW YORK
6H74136MEDICARE UPINNEW YORK
72K7991MEDICARE 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: 11/14/2023

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