Provider Demographics
NPI:1225433246
Name:DERMATOLOGY ASSOCIATES OF NEW YORK, PLLC
Entity Type:Organization
Organization Name:DERMATOLOGY ASSOCIATES OF NEW YORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:MERAL
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-777-1799
Mailing Address - Street 1:440 MAMARONECK AVE
Mailing Address - Street 2:SUITE 412
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-2418
Mailing Address - Country:US
Mailing Address - Phone:914-777-1799
Mailing Address - Fax:914-777-1899
Practice Address - Street 1:440 MAMARONECK AVE
Practice Address - Street 2:SUITE 412
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-2418
Practice Address - Country:US
Practice Address - Phone:914-777-1799
Practice Address - Fax:914-777-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217867207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty