Active NPIOrganization

57 West Dermatology LLC

Dermatology in New York, New York

NPI Number1306224001
Practice location
57 W 57TH St, Suite 1109, New York, NY 10019-2802
Fax
—
Last updated
May 13, 2015

57 West Dermatology LLC is a healthcare organization based in New York, NY. 57 West Dermatology LLC practices in New York, NY. The NPI Number for 57 West Dermatology LLC is 1306224001 and holds a License No. 196509 (NY). The current practice location address for 57 West Dermatology LLC is 57 W 57TH St, Suite 1109, New York, NY 10019-2802 and can be reached out via phone at 516-297-2691.

Provider Profile Details

NPI Number
1306224001
Provider Name
57 West Dermatology LLC
Provider Entity Type
Organization
Address
57 W 57TH St, Suite 1109, New York, NY 10019-2802
Phone Number
516-297-2691
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Alan Todd Glass, MD · Owner · 516-297-2691
Provider Enumeration Date
May 13, 2015
Last Update Date
May 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 W 57TH St
Suite 1109
New York, NY 10019-2802
Zip
10019-2802
Phone Number
516-297-2691
New York, NY 10019Get directions →

Provider Business Mailing Address Details

Address
57 W 57TH St
Suite 1109
New York, NY 10019-2802
City
New York
State
NY
Zip
10019-2802
Phone Number
516-297-2691

License Information

License Number
196509
License State
NY
Taxonomy
Dermatology · 207N00000X · 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 57 West Dermatology LLC?

The NPI number of 57 West Dermatology LLC is 1306224001. It was assigned on May 13, 2015 and is currently active in the NPPES registry.

What is the specialty of 57 West Dermatology LLC?

57 West Dermatology LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NY under license number 196509.

Where does 57 West Dermatology LLC practice?

The practice location is 57 W 57TH St, Suite 1109, New York, NY 10019-2802. The office can be reached at 516-297-2691 (phone).

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 1306224001 directly on the NPPES registry website.

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