- Practice location
- 1091 Southern Blvd, Bronx, NY 10459-2417
- Phone
- 718-401-7000
- Fax
- 917-473-7878
- Last updated
- August 8, 2023
1091 Southern Blvd Dermatology PLLC is a healthcare organization based in Bronx, NY. 1091 Southern Blvd Dermatology PLLC practices in Bronx, NY. The NPI Number for 1091 Southern Blvd Dermatology PLLC is 1154004133. The current practice location address for 1091 Southern Blvd Dermatology PLLC is 1091 Southern Blvd, Bronx, NY 10459-2417 and can be reached out via phone at 718-401-7000 and via fax at 917-473-7878.
Provider Profile Details
- NPI Number
- 1154004133
- Provider Name
- 1091 Southern Blvd Dermatology PLLC
- Provider Entity Type
- Organization
- Address
- 1091 Southern Blvd, Bronx, NY 10459-2417
- Phone Number
- 718-401-7000
- Fax Number
- 917-473-7878
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Wendy Sanchez · Office Manager · 347-642-9802
- Provider Enumeration Date
- August 8, 2023
- Last Update Date
- August 8, 2023
- Certification Date
- August 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1091 Southern Blvd
Bronx, NY 10459-2417 - City
- Bronx
- State
- New York
- Zip
- 10459-2417
- Phone Number
- 718-401-7000
- Fax Number
- 917-473-7878
Provider Business Mailing Address Details
- Address
- 4037 74TH St
Elmhurst, NY 11373-5603 - City
- Elmhurst
- State
- NY
- Zip
- 11373-5603
- Phone Number
- 347-642-9802
- Fax Number
- 347-642-9852
License Information
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Bronx, NY
View all Dermatology providers in Bronx →- Advanced Dermatology Of New York PCDermatology · NPI 1508048240
- Advanced Dermatology Of New York PCDermatology · NPI 1518964923
- Associates In Dermatology And Cosmetic Surgery-The Millburn Laser CentDermatology · NPI 1336745330
- Bronx DermatologyDermatology · NPI 1699955013
- Carson T Kirkpatrick, MDDermatology · NPI 1073141511
- Cassandra E Venable, MDDermatology · NPI 1881775203
Frequently Asked Questions
What is the NPI number of 1091 Southern Blvd Dermatology PLLC?
The NPI number of 1091 Southern Blvd Dermatology PLLC is 1154004133. It was assigned on August 8, 2023 and is currently active in the NPPES registry.
What is the specialty of 1091 Southern Blvd Dermatology PLLC?
1091 Southern Blvd Dermatology PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does 1091 Southern Blvd Dermatology PLLC practice?
The practice location is 1091 Southern Blvd, Bronx, NY 10459-2417. The office can be reached at 718-401-7000 (phone) or 917-473-7878 (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 1154004133 directly on the NPPES registry website.