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Contact Information

ACCREDITED DERMATOLOGIC SURGERY, PC
23-83 BELL BLVD
BAYSIDE, NY11360
 Phone: 718-423-0200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for ACCREDITED DERMATOLOGIC SURGERY, PC

NPI Number 1992208144
LBN Legal business name ACCREDITED DERMATOLOGIC SURGERY, PC
Authorized official JORDAN ZUCKERMAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2018
Last updated 03/14/2018 - About 8 years ago
Identifiers
NY License # 6417
NY Other 6417 AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY FACILITIES, INC.
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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