Provider Demographics
NPI:1881489060
Name:CITRUS DERMATOLOGY SERVICES OF NY, P.C.
Entity type:Organization
Organization Name:CITRUS DERMATOLOGY SERVICES OF NY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PC PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-819-4588
Mailing Address - Street 1:963 NORLAND AVE # 1049
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4204
Mailing Address - Country:US
Mailing Address - Phone:516-388-7209
Mailing Address - Fax:877-413-4836
Practice Address - Street 1:418 BROADWAY STE N
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-2922
Practice Address - Country:US
Practice Address - Phone:516-388-7209
Practice Address - Fax:877-413-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty