Pine Street Dermatology, Pc

LBN: Pine Street Dermatology, Pc
Pine Street Dermatology, Pc is an health care organization with primary practice located at 1233 Locust St. Suite 101, Philadelphia PA 19107. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Pine Street Dermatology, Pc can be contacted via phone (215) 735-2636, or through Covello, Seana via phone (215) 574-9101.

Contact Information

Primary practice address
1233 Locust St. Suite 101 Philadelphia PA 19107
Phone: (215) 735-2636
Fax: (215) 735-2634
Website:
Map and Directions
Authorized official contact:
Name: Covello, Seana Doctor of Medicine (MD)
Phone: (215) 574-9101

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD067435L Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD067435L Pennsylvania

Profile Details

NPI number 1396822870
LBN Legal business name Pine Street Dermatology, Pc
DBA Doing business as
Authorized official Covello, Seana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated May 11th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396822870 NPPES
Pennsylvania Other 2146941000 IBC
Pennsylvania Other 1458723 IBC
Pennsylvania Other 3150557 IBC

Popular Providers