Penrose Dermatology Pllc

LBN: Penrose Dermatology Pllc
Penrose Dermatology Pllc is an health care organization with primary practice located at 1110 South Ave Suite 400, Staten Island NY 10314-3403. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Penrose Dermatology Pllc can be contacted via phone (917) 830-1415, or through Penrose, Carolin via phone (917) 620-4421.

Contact Information

Primary practice address
1110 South Ave Suite 400 Staten Island NY 10314-3403
Phone: (917) 830-1415
Fax: (917) 830-1418
Website:
Map and Directions
Authorized official contact:
Name: Penrose, Carolin Doctor of Medicine (MD)
Phone: (917) 620-4421

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 245597-1 New York

Profile Details

NPI number 1346601333
LBN Legal business name Penrose Dermatology Pllc
DBA Doing business as
Authorized official Penrose, Carolin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2016
Last updated Jun 28th, 2016 - about 10 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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