Provider Demographics
NPI:1790069797
Name:LANCASTER DERMATOLOGY, PLLC
Entity Type:Organization
Organization Name:LANCASTER DERMATOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DABSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-681-4800
Mailing Address - Street 1:1821 COMO PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2823
Mailing Address - Country:US
Mailing Address - Phone:716-681-4800
Mailing Address - Fax:716-681-3713
Practice Address - Street 1:1821 COMO PARK BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-2823
Practice Address - Country:US
Practice Address - Phone:716-681-4800
Practice Address - Fax:716-681-3713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-09
Last Update Date:2011-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172021261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty