Vanguard Dermatology

LBN: Vanguard Dermatology
Vanguard Dermatology is an health care organization with primary practice located at 11045 Queens Blvd Unit 116, Forest Hills NY 11375-5501. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Vanguard Dermatology can be contacted via phone (718) 332-2999, or through Shapiro, Michael via phone (718) 332-2999.

Contact Information

Primary practice address
11045 Queens Blvd Unit 116 Forest Hills NY 11375-5501
Phone: (718) 332-2999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shapiro, Michael Doctor of Medicine (MD)
Phone: (718) 332-2999

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1336337955
LBN Legal business name Vanguard Dermatology
DBA Doing business as
Authorized official Shapiro, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 19 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 1336337955 NPPES
New York MEDICAID 02692937

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