Magnolia Dermatology, Pllc

LBN: Magnolia Dermatology, Pllc
Magnolia Dermatology, Pllc is an health care organization with primary practice located at 582 New Loudon Rd , Latham NY 12110-4059. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Magnolia Dermatology, Pllc can be contacted via phone (518) 888-2012, or through Tracey, Virginia via phone (518) 888-2012.

Contact Information

Primary practice address
582 New Loudon Rd Latham NY 12110-4059
Phone: (518) 888-2012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tracey, Virginia Doctor of Medicine (MD)
Phone: (518) 888-2012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1932889102
LBN Legal business name Magnolia Dermatology, Pllc
DBA Doing business as
Authorized official Tracey, Virginia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2023
Last updated May 13th, 2024 - about 6 months 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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