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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

NPI # 1821164096
LBN Legal business name PAN DERMATOLOGY, PC
Authorized official TEDDY PAN - (PRINCIPAL OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 02/17/2017 - About 9 years ago
Identifiers
NY License # 239724-1
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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