Provider Demographics
NPI:1891940946
Name:SHERWIN K PARIKH MD PC
Entity Type:Organization
Organization Name:SHERWIN K PARIKH MD PC
Other - Org Name:TRIBECA SKIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERWIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-334-3774
Mailing Address - Street 1:315 CHURCH ST
Mailing Address - Street 2:2ND FLR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2442
Mailing Address - Country:US
Mailing Address - Phone:212-334-3774
Mailing Address - Fax:212-401-4771
Practice Address - Street 1:315 CHURCH ST
Practice Address - Street 2:2ND FLR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2442
Practice Address - Country:US
Practice Address - Phone:212-334-3774
Practice Address - Fax:212-401-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209105-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100001044Medicare PIN