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COSMETIQUE DERMATOLOGY LASER & PLASTIC SURGERY LLP NPI 1710987227


NPI Information

NPI: 1710987227
Provider Name: COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 33D0665524

Address:
31 NORTHERN BLVD
GREENVALE, NY
ZIP 11548
Phone: (516) 484-9000
Get Directions

COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP is a mohs-micrographic surgery dermatology in Greenvale, NY. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP NPI is 1710987227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 NORTHERN BLVD
GREENVALE, NY
ZIP 11548-320
Phone: (516) 484-9000
Fax: (516) 484-7549

The provider's authorized official is Robert H Gotkin .
The authorized official title is Partner and has the following contact phone number (516) 484-9000.

The CLIA number assigned to this NPI record is 33D0665524 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 6/26/2008.


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
1208200000XPlastic Surgery147060-1NEW YORKNo
2207ND0101XDermatologyMOHS-Micrographic Surgery146515NEW YORKYes

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
1WXWPW1MEDICARE PINNEW YORK

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

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