Penrose Dermatology PLLC
Clinic/Center, Medical Specialty in Staten Island, New York
1346601333- Practice location
- 1110 South Ave, Suite 400, Staten Island, NY 10314-3403
- Phone
- 917-830-1415
- Fax
- 917-830-1418
- Last updated
- June 28, 2016
Penrose Dermatology PLLC is a healthcare organization based in Staten Island, NY. Penrose Dermatology PLLC practices in Staten Island, NY. The NPI Number for Penrose Dermatology PLLC is 1346601333 and holds a License No. 245597-1 (NY). The current practice location address for Penrose Dermatology PLLC is 1110 South Ave, Suite 400, Staten Island, NY 10314-3403 and can be reached out via phone at 917-830-1415 and via fax at 917-830-1418.
Provider Profile Details
- NPI Number
- 1346601333
- Provider Name
- Penrose Dermatology PLLC
- Provider Entity Type
- Organization
- Address
- 1110 South Ave, Suite 400, Staten Island, NY 10314-3403
- Phone Number
- 917-830-1415
- Fax Number
- 917-830-1418
- Primary Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X
- Organization Subpart
- No
- Authorized Official
- Dr. Carolin Penrose, MD · Dermatologist · 917-620-4421
- Provider Enumeration Date
- March 17, 2016
- Last Update Date
- June 28, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1110 South Ave
Suite 400
Staten Island, NY 10314-3403 - City
- Staten Island
- State
- New York
- Zip
- 10314-3403
- Phone Number
- 917-830-1415
- Fax Number
- 917-830-1418
Provider Business Mailing Address Details
- Address
- 1110 South Ave
Suite 400
Staten Island, NY 10314-3403 - City
- Staten Island
- State
- NY
- Zip
- 10314-3403
- Phone Number
- 917-830-1415
- Fax Number
- 917-830-1418
License Information
- License Number
- 245597-1
- License State
- NY
- Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Penrose Dermatology PLLC?
The NPI number of Penrose Dermatology PLLC is 1346601333. It was assigned on March 17, 2016 and is currently active in the NPPES registry.
What is the specialty of Penrose Dermatology PLLC?
Penrose Dermatology PLLC is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in NY under license number 245597-1.
Where does Penrose Dermatology PLLC practice?
The practice location is 1110 South Ave, Suite 400, Staten Island, NY 10314-3403. The office can be reached at 917-830-1415 (phone) or 917-830-1418 (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 1346601333 directly on the NPPES registry website.