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

MASSAPEQUA DERMATOLOGY PLLC

Active Organization

MASSAPEQUA DERMATOLOGY PLLC is a Dermatology organization located in MASSAPEQUA, New York. NPI 1184735193 is currently active in the NPPES registry. Verify at CMS.

Dermatology · MASSAPEQUA, NY

Registration Details

NPI Number
1184735193
Provider Type
Organization
NPI Issued
Aug 31, 2006 (19.978073911649 yrs)
Last Updated
Apr 22, 2015
License
171086 (NY)

Practice Information

Address
70 GRAND AVE
MASSAPEQUA, NY, 117584906
Browse NY providers · Browse ZIP 11758
Phone
5167991600
Fax
5167991454
Primary Specialty
Dermatology
207N00000X

Other Dermatology Organizations in MASSAPEQUA, NY

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.