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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 NY,PC

NPI Number 1336343268
LBN Legal business name METRO DERMATOLOGY OF NY,PC
Authorized official HYUN SOO LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 08/21/2020 - About 6 years ago
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
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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