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Contact Information

CATSKILL DERMATOLOGY, PC
110 BRIDGEVILLE RD
MONTICELLO, NY12701
 Phone: 845-794-3030
 Fax: 845-794-3036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CATSKILL DERMATOLOGY PC · (Female)

NPI # 1235279233
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2007
Last updated 04/29/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 191489
  • NY Other 2K5762 BCBS
  • NY Other 2K5763 BCBS
  • NY Other 01429941 MEDICAID
  • NY Other N3955 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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