Dermatique

LBN: Dermedx Dermatology Pc
Dermatique is an health care organization with primary practice located at 222 E Main St Suite 228, Smithtown NY 11787-2871. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermedx Dermatology Pc can be contacted via phone (631) 265-1351, or through Solomon, Barry A via phone (631) 265-1351.

Contact Information

Primary practice address
222 E Main St Suite 228 Smithtown NY 11787-2871
Phone: (631) 265-1351
Fax: (631) 265-9363
Website:
Map and Directions
Authorized official contact:
Name: Solomon, Barry A M.D., J.D.
Phone: (631) 265-1351

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 195658 New York

Profile Details

NPI number 1104944032
LBN Legal business name Dermedx Dermatology Pc
DBA Doing business as Dermatique
Authorized official Solomon, Barry A M.D., J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104944032 NPPES
New York Other 1740242031 NPI
New York MEDICAID 01785368 NPI
New York Other 110501 NPI
New York Other W17942 NPI

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