Huntington Dermatology And Cosmetics Associate PC
Dermatology in Huntington, NY. Organization (NPI-2).
NPI number1487669883
StatusActive
Last updated in NPPESSep 27, 2007
Details
- NPI
- 1487669883
- Entity type
- Organization (NPI-2)
- Legal business name
- Huntington Dermatology And Cosmetics Associate PC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Sep 27, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 152208 | NY | Yes |
Practice location
11 Prospect StHuntington, NY 11743
Phone 631-424-3376 · Fax 631-424-0199
Mailing address
11 Prospect StHuntington, NY 11743
Phone 631-424-3376 · Fax 631-424-0199
Authorized official
Phyllis J Smith
Owner
6314243376
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