Gold Coast Dermatology Pc

LBN: Gold Coast Dermatology Pc
Gold Coast Dermatology Pc is an health care organization with primary practice located at 149 Commack Rd Ste B , Commack NY 11725-3459. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Gold Coast Dermatology Pc can be contacted via phone (631) 467-4653, or through Mccall, Charisse L via phone (631) 467-4653.

Contact Information

Primary practice address
149 Commack Rd Ste B Commack NY 11725-3459
Phone: (631) 467-4653
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccall, Charisse L Doctor of Osteopathy (DO)
Phone: (631) 467-4653

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1578138343
LBN Legal business name Gold Coast Dermatology Pc
DBA Doing business as
Authorized official Mccall, Charisse L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2021
Last updated Aug 25th, 2021 - about 4 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 1578138343 NPPES
New York MEDICAID 03918898

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