Provider Demographics
NPI:1033907126
Name:CLEARSKIN COUTURE LLC
Entity type:Organization
Organization Name:CLEARSKIN COUTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-962-9720
Mailing Address - Street 1:922 TROY SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-1610
Mailing Address - Country:US
Mailing Address - Phone:518-802-0072
Mailing Address - Fax:
Practice Address - Street 1:922 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-1610
Practice Address - Country:US
Practice Address - Phone:518-802-0072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty