Provider Demographics
NPI:1477251650
Name:DERMFLOW
Entity Type:Organization
Organization Name:DERMFLOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSOKARI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:205-601-1147
Mailing Address - Street 1:155 BORDEN AVE APT 30F
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-6242
Mailing Address - Country:US
Mailing Address - Phone:205-601-1147
Mailing Address - Fax:
Practice Address - Street 1:4610 CENTER BLVD APT 618
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11109-5847
Practice Address - Country:US
Practice Address - Phone:205-601-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty