CONNECTICUT SKIN INSTITUTE


Address: 999 Summer St, Suite 205, Stamford, CT 06905-5546
Phone: 9173013781

CONNECTICUT SKIN INSTITUTE (NPI# 1013263847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013263847
Entity Type Organization
Organization Name CONNECTICUT SKIN INSTITUTE
Practice Address 999 Summer St
Suite 205
Stamford
CT 06905-5546
Practice Telephone 9173013781
Mailing Telephone 9173013781
Enumeration Date 2012-07-30
Last Update Date 2013-09-25
Authorized Official Name OMAR A IBRAHIMI (OWNER)
Authorized Official Telephone 9173013781
Authorized Official Credential MD PHD LLC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
049530 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 999 SUMMER ST
SUITE 205
City STAMFORD
State CT
Zip Code 06905-5546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609856020 James Tulacro Physician Assistant 999 Summer St, 304, Stamford, CT 06905-5546 2006-01-20
1598222119 Lubna Latif Physician Assistant 999 Summer St, Stamford, CT 06905-5546 2019-03-01
1750815098 Mary Coppolo Nurse Practitioner 999 Summer St, Suite 304, Stamford, CT 06905-5546 2017-04-13
1578937579 Integrative Medical Solutions, PC Physical Medicine & Rehabilitation 999 Summer St, Suite 205, Stamford, CT 06905-5546 2015-11-15
1700256708 Big Leaps Occupational Therapist 999 Summer St, Suite 104, Stamford, CT 06905-5546 2015-10-02
1346649589 Mark J. Ostrowski, Psy.d. LLC Psychologist 999 Summer St, Suite 200, Stamford, CT 06905-5546 2014-08-13
1962849091 Comprehensive Neurology and Pain Center of Connecticut (stamford) Pain Medicine 999 Summer St, Suite 100, Stamford, CT 06905-5546 2013-05-30
1033472568 Shimrat R Notik Dermatology 999 Summer St, Ste 305, Stamford, CT 06905-5513 2012-06-19
1306156385 Danielle Mckay Occupational Therapy Assistant 999 Summer St, Suite 104, Stamford, CT 06905-5546 2010-10-08
1568770428 Gold Coast Plastic Surgery and Laser Center, LLC Plastic Surgery 999 Summer St, Suite 401, Stamford, CT 06905-5546 2010-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396367272 Smartport LLC Non-emergency Medical Transport (VAN) C/o Mollo, 1111 Summer St, Stamford, CT 06905 2020-05-13
1245889096 Anna Diamantis Counselor 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 2019-09-04
1871150409 Connecticut Anesthesia Associates LLC Anesthesiology 1177 High Ridge Road, Stamford, CT 06905 2019-05-20
1518447887 Alexandra Petrov Lactation Consultant, Non-RN 42 Riverside Ave, Stamford, CT 06905 2018-08-16
1235640327 A&s Chemists LLC Pharmacy 910 Summer Ave, Stamford, CT 06905 2017-10-17
1659805117 Evolution Physical Therapy, LLC Clinic/Center 7 Reynolds Ave, Stamford, CT 06905 2017-04-11
1326587841 Karen Poggi Speech-Language Pathologist 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 2017-02-16
1811434871 Christina Skuburids, LLC Point of Service 2043 Bedford Street, Stamford, CT 06905 2017-01-27
1669833513 Christian Alvarez Occupational Therapist 15 First St Unit 1, Stamford, CT 06905 2016-03-18
1932500915 Emily Krol Psychologist 29 Yale Court, Stamford, CT 06905 2014-09-10
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376575324 John R. West Md Inc Dermatology 34 Water St, Suite 2, Mystic, CT 06355-2524 2006-07-07
1497795314 Barry J Richter Dermatology 5 Durham Road, Guilford, CT 06437 2006-06-08
1437198702 Andrew M Herbst Dermatology 13 Park St, Norwalk, CT 06851-4811 2006-06-05
1588859946 Dermatology Surgical Associates, LLC Dermatology 499 Farmington Ave, Suite 230, Farmington, CT 06032-1933 2007-09-10
1487606117 John Robert West Jr. Dermatology 34 Water Street, Suite 2, Mystic, CT 06355 2006-05-17

Competitor

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City STAMFORD
Zip Code 06905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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