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Contact Information

PAN DERMATOLOGY, PC
105 EVERETT RD
COLONIE, NY12205-1407
 Phone: 518-694-0999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

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

NPI # 1821164096
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2006
Last updated 02/17/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 239724-1
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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