Near Me Dermatology Pllc

LBN: Near Me Dermatology Pllc
Near Me Dermatology Pllc is an health care organization with primary practice located at 550 Orchard Park Rd Ste A110 , West Seneca NY 14224-2646. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Near Me Dermatology Pllc can be contacted via phone (716) 650-5720, or through Kim, Youn Jea via phone (213) 880-2538.

Contact Information

Primary practice address
550 Orchard Park Rd Ste A110 West Seneca NY 14224-2646
Phone: (716) 650-5720
Fax: (716) 650-4618
Website:
Map and Directions
Authorized official contact:
Name: Kim, Youn Jea Family Nurse Practitioner (FNP)
Phone: (213) 880-2538

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1083387898
LBN Legal business name Near Me Dermatology Pllc
DBA Doing business as
Authorized official Kim, Youn Jea Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2021
Last updated May 1st, 2024 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083387898 NPPES
New York MEDICAID 04401649

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