1091 SOUTHERN BLVD DERMATOLOGY PLLC – NPI #1154004133
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1091 SOUTHERN BLVD DERMATOLOGY PLLC is a dermatologist located in BRONX, NY. NPPES has assigned the NPI number 1154004133 to 1091 SOUTHERN BLVD DERMATOLOGY PLLC on August 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1091 SOUTHERN BLVD DERMATOLOGY PLLC below.

NPI Profile for
1091 SOUTHERN BLVD DERMATOLOGY PLLC

NPI Number
1154004133
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1091 SOUTHERN BLVD DERMATOLOGY PLLC
Primary location
1091 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone: (718) 401-7000 Fax: (917) 473-7878
Mailing address
4037 74TH ST
ELMHURST, NY 11373-5603
Phone: (347) 642-9802 Fax: (347) 642-9852
Organization Subpart
No
Authorized Official
WENDY SANCHEZ
OFFICE MANAGER
Phone: (347) 642-9802
Updated
Certification Date
Aug 08, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.