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Contact Information

UPSTATE DERMATOPATHOLOGY PLLC
6400 SHERIDAN DR STE 224
WILLIAMSVILLE, NY14221-4842
 Phone: 716-334-0357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for UPSTATE DERMATOPATHOLOGY PLLC

NPI # 1790567774
LBN Legal business name UPSTATE DERMATOPATHOLOGY PLLC
Authorized official LIAQAT ALI - (MEDICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2023
Last updated 10/16/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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