- Practice location
- 7A Medical Park Dr, Pomona, NY 10970-3516
- Phone
- 845-354-1169
- Fax
- 845-362-5126
- Last updated
- August 22, 2020
Dermatologic Surgery At Crystal Run is a healthcare organization based in Pomona, NY. Dermatologic Surgery At Crystal Run practices in Pomona, NY. The NPI Number for Dermatologic Surgery At Crystal Run is 1164509246 and holds a License No. 154268 (NY). The current practice location address for Dermatologic Surgery At Crystal Run is 7A Medical Park Dr, Pomona, NY 10970-3516 and can be reached out via phone at 845-354-1169 and via fax at 845-362-5126.
Provider Profile Details
- NPI Number
- 1164509246
- Provider Name
- Dermatologic Surgery At Crystal Run
- Provider Entity Type
- Organization
- Address
- 7A Medical Park Dr, Pomona, NY 10970-3516
- Phone Number
- 845-354-1169
- Fax Number
- 845-362-5126
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Organization Subpart
- No
- Authorized Official
- Yehuda David Eliezri, MD · President · 845-692-3376
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7A Medical Park Dr
Pomona, NY 10970-3516 - City
- Pomona
- State
- New York
- Zip
- 10970-3516
- Phone Number
- 845-354-1169
- Fax Number
- 845-362-5126
Provider Business Mailing Address Details
- Address
- 28 Rykowski Ln
Middletown, NY 10941-4018 - City
- Middletown
- State
- NY
- Zip
- 10941-4018
- Phone Number
- 845-692-3376
- Fax Number
- 845-692-0124
License Information
- License Number
- 154268
- License State
- NY
- Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology, MOHS-Micrographic Surgery providers near Pomona, NY
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- Ms. Stella Lubetsky, MSW LICENSED CLINICASocial Worker, Clinical · NPI 1902953102
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Frequently Asked Questions
What is the NPI number of Dermatologic Surgery At Crystal Run?
The NPI number of Dermatologic Surgery At Crystal Run is 1164509246. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dermatologic Surgery At Crystal Run?
Dermatologic Surgery At Crystal Run is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in NY under license number 154268.
Where does Dermatologic Surgery At Crystal Run practice?
The practice location is 7A Medical Park Dr, Pomona, NY 10970-3516. 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 1164509246 directly on the NPPES registry website.