Provider Demographics
NPI:1124569447
Name:CITYWIDE DERMATOLOGY, PLLC
Entity Type:Organization
Organization Name:CITYWIDE DERMATOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHWEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-231-9897
Mailing Address - Street 1:156 W 56TH ST
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3800
Mailing Address - Country:US
Mailing Address - Phone:212-231-9897
Mailing Address - Fax:
Practice Address - Street 1:156 W 56TH ST
Practice Address - Street 2:SUITE 1003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3800
Practice Address - Country:US
Practice Address - Phone:929-501-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233192207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID