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Contact Information

METRO DERMATOLOGY OF NY,PC
14472 NORTHERN BLVD STE 203
FLUSHING, NY11354-4231
 Phone: 718-886-9000
 Fax: 718-961-0666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for METRO DERMATOLOGY OF NYPC · (Female)

NPI # 1336343268
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2007
Last updated 08/21/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 012529
  • NY License # 012705
  • NY License # 015855
  • NY License # 017273
  • NY License # 017384
  • NY License # 186672
  • NY License # 191741
  • NY License # 258414
  • NY License # 270019
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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