Park Avenue Dermatology, PC
Specialist in Staten Island, New York
1730393042- Practice location
- 31 Tioga St, Staten Island, NY 10301-4329
- Phone
- 718-981-5040
- Fax
- —
- Last updated
- February 2, 2017
Park Avenue Dermatology, PC is a healthcare organization based in Staten Island, NY. Park Avenue Dermatology, PC practices in Staten Island, NY. The NPI Number for Park Avenue Dermatology, PC is 1730393042. The current practice location address for Park Avenue Dermatology, PC is 31 Tioga St, Staten Island, NY 10301-4329 and can be reached out via phone at 718-981-5040.
Provider Profile Details
- NPI Number
- 1730393042
- Provider Name
- Park Avenue Dermatology, PC
- Provider Entity Type
- Organization
- Address
- 31 Tioga St, Staten Island, NY 10301-4329
- Phone Number
- 718-981-5040
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dominick Ligresti · Doctor · 718-981-5040
- Provider Enumeration Date
- May 9, 2007
- Last Update Date
- February 2, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Tioga St
Staten Island, NY 10301-4329 - City
- Staten Island
- State
- New York
- Zip
- 10301-4329
- Phone Number
- 718-981-5040
Provider Business Mailing Address Details
- Address
- 31 Tioga St
Staten Island, NY 10301-4329 - City
- Staten Island
- State
- NY
- Zip
- 10301-4329
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Park Avenue Dermatology, PC?
The NPI number of Park Avenue Dermatology, PC is 1730393042. It was assigned on May 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Park Avenue Dermatology, PC?
Park Avenue Dermatology, PC is registered under the primary taxonomy Specialist (code 174400000X).
Where does Park Avenue Dermatology, PC practice?
The practice location is 31 Tioga St, Staten Island, NY 10301-4329. The office can be reached at 718-981-5040 (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 1730393042 directly on the NPPES registry website.