Active NPIIndividual provider

Edward B Desciak, MD

Dermatology, Procedural Dermatology in Pomona, New York

NPI Number1124062922
Practice location
7 Medical Park Dr, Pomona, NY 10970-3562
Fax
845-362-5126
Last updated
September 12, 2011

Edward Brady Desciak is a Dermatology, Procedural Dermatology based in Pomona, NY. Edward Brady Desciak practices in Pomona, NY and has the professional credentials of MD. The NPI Number for Edward Brady Desciak is 1124062922 and holds a License No. 2167151 (NY). The current practice location address for Edward Brady Desciak is 7 Medical Park Dr, Pomona, NY 10970-3562 and can be reached out via phone at 845-354-1169 and via fax at 845-362-5126.

Provider Profile Details

NPI Number
1124062922
Provider Name
Edward Brady Desciak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7 Medical Park Dr, Pomona, NY 10970-3562
Phone Number
845-354-1169
Fax Number
845-362-5126
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2006
Last Update Date
September 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Medical Park Dr
Pomona, NY 10970-3562
City
Pomona
Zip
10970-3562
Phone Number
845-354-1169
Fax Number
845-362-5126
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
7 Medical Park Dr
Pomona, NY 10970-3562
City
Pomona
State
NY
Zip
10970-3562
Phone Number
845-354-1169
Fax Number
845-362-5126

License Information

License Number
2167151
License State
NY
Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edward B Desciak, MD?

The NPI number of Edward B Desciak, MD is 1124062922. It was assigned on June 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Edward B Desciak, MD?

Edward B Desciak, MD is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in NY under license number 2167151.

Where does Edward B Desciak, MD practice?

The practice location is 7 Medical Park Dr, Pomona, NY 10970-3562. The office can be reached at 845-354-1169 (phone) or 845-362-5126 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124062922 directly on the NPPES registry website.

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