ISLAND MOHS SURGERY PLLC NPI 1114271285

NPI Information

NPI: 1114271285
Provider Name: ISLAND MOHS SURGERY PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
877 STEWART AVENUE SUITE 27
GARDEN CITY, NY
ZIP 11530
Phone: (516) 745-0606
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ISLAND MOHS SURGERY PLLC is a specialist in Garden City, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ISLAND MOHS SURGERY PLLC NPI is 1114271285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

877 STEWART AVENUE SUITE 27
GARDEN CITY, NY
ZIP 11530-803
Phone: (516) 745-0606
Fax: (516) 745-0679

The provider's authorized official is Alan Lee Spinowitz M.d. .
The authorized official title is Member and has the following contact phone number (516) 745-0606.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		150517-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B20167	MEDICARE UPIN
2	92D391	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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