Provider Demographics
NPI:1326129990
Name:ENGELMAN, DENDY ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:DENDY
Middle Name:ELIZABETH
Last Name:ENGELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 VETERANS MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4200
Mailing Address - Country:US
Mailing Address - Phone:631-543-4888
Mailing Address - Fax:631-543-3549
Practice Address - Street 1:223 W MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-3536
Practice Address - Country:US
Practice Address - Phone:631-728-7288
Practice Address - Fax:631-728-4010
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248577207N00000X, 207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1326129990OtherNPI
NY1326129990OtherNPI