Island Dermatology, Pc
LBN: Island Dermatology, Pc
Island Dermatology, Pc is an health care organization with primary practice located at 604 E Park Ave , Long Beach NY 11561-2505. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Island Dermatology, Pc can be contacted via phone (516) 432-0011, or through Falcon, Ronald Harlan via phone (516) 432-0011.
Contact Information
Primary practice address
604 E Park Ave
Long Beach NY 11561-2505
Phone: (516) 432-0011
Fax: (516) 432-1686
Website:
Authorized official contact:
Name: Falcon, Ronald Harlan Doctor of Medicine (MD)
Phone: (516) 432-0011
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X |
Profile Details
| NPI number | 1316996937 |
|---|---|
| LBN Legal business name | Island Dermatology, Pc |
| DBA Doing business as | |
| Authorized official | Falcon, Ronald Harlan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 5th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316996937 | NPPES |
| Other | 2200149 | GHI | |
| MEDICAID | 01453341 | GHI | |
| Other | W23131 | GHI | |
| Other | 373723 | GHI | |
| Other | 7374 | GHI | |
| Other | 14478 | GHI |
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