Provider Demographics
| NPI: | 1861861759 |
|---|---|
| Name: | UNITED SKIN SPECIALISTS, LTD PC |
| Entity type: | Organization |
| Organization Name: | UNITED SKIN SPECIALISTS, LTD PC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| 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: | 212-283-3000 |
| Mailing Address - Street 1: | 33 E 33RD ST FL 12 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NEW YORK |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 10016-5362 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 212-283-3000 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4100 W 50TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | EDINA |
| Practice Address - State: | MN |
| Practice Address - Zip Code: | 55424-1200 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 952-929-8888 |
| Practice Address - Fax: | 952-929-9669 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | UNITED SKIN SPECIALISTS, LTD |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2015-09-21 |
| Last Update Date: | 2024-08-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | Procedural Dermatology | Group - Single Specialty |