Provider Demographics
NPI:1932853728
Name:ALLURE DERMATOLOGY PLLC
Entity Type:Organization
Organization Name:ALLURE DERMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DURCHHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-594-3000
Mailing Address - Street 1:178 BERRYHILL CT
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1504
Mailing Address - Country:US
Mailing Address - Phone:516-492-6130
Mailing Address - Fax:
Practice Address - Street 1:400 S OYSTER BAY RD STE 100
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:516-592-3000
Practice Address - Fax:516-933-6851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty