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Contact Information

NEW SEASON DERMATOLOGY, PLLC
302 REYNOLDS RD STE A
JOHNSON CITY, NY13790-1308
 Phone: 607-444-5446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NEW SEASON DERMATOLOGY, PLLC

NPI # 1992215180
LBN Legal business name NEW SEASON DERMATOLOGY, PLLC
Authorized official ROBERT EGBERS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2017
Last updated 12/18/2024 - More than a year ago
Identifiers
NY License # 288727
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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