FINGER LAKES DERMATOLOGY PLLC NPI 1508402710

NPI Details

FINGER LAKES DERMATOLOGY PLLC is a dermatology in Freeville, NY. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. FINGER LAKES DERMATOLOGY PLLC NPI is 1508402710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2141 DRYDEN RD
FREEVILLE, NY
ZIP 13068
Phone: (607) 708-1330
Fax: (607) 708-4242

The provider's authorized official is Brad Yentzer .
The authorized official title is Owner and has the following contact phone number (607) 708-1330.

The CLIA number assigned to this NPI record is 33D2177830 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/22/2019 and was last updated on 4/13/2022.

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: