DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERMATOLOGIC SURGERY AT CRYSTAL RUN

Active Organization

DERMATOLOGIC SURGERY AT CRYSTAL RUN is a Obesity Medicine organization located in POMONA, New York. NPI 1164509246 is currently active in the NPPES registry. Verify at CMS.

Obesity Medicine · POMONA, NY

Registration Details

NPI Number
1164509246
Provider Type
Organization
NPI Issued
Nov 1, 2006 (19.823052695545 yrs)
Last Updated
Aug 22, 2020
License
154268 (NY)

Practice Information

Address
7A MEDICAL PARK DR
POMONA, NY, 109703516
Browse NY providers · Browse ZIP 10970
Phone
8453541169
Fax
8453625126
Primary Specialty
Obesity Medicine
207ND0101X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.