THE CENTER FOR DERMATOLOGIC SURGERY OF MONROE


Address: 503 State Route 208, Monroe, NY 10950-1619
Phone: 8457832920

THE CENTER FOR DERMATOLOGIC SURGERY OF MONROE (NPI# 1255415113) 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) 1255415113
Entity Type Organization
Organization Name THE CENTER FOR DERMATOLOGIC SURGERY OF MONROE
Practice Address 503 State Route 208
Monroe
NY 10950-1619
Practice Telephone 8457832920
Practice Fax Number 8457832918
Mailing Telephone 8457832920
Mailing Fax Number 8457832918
Enumeration Date 2006-10-25
Last Update Date 2020-08-22
Authorized Official Name YEHUDA DAVID ELIEZRI (PRESIDENT)
Authorized Official Telephone 8457832920
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
154268 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 503 STATE ROUTE 208
City MONROE
State NY
Zip Code 10950-1619

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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/

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1598043432 Marmur Dermatology and Cardiology, Pllc Dermatology 12 E 87th St Suite 1a, New York, NY 10128-0501 2011-07-26
1427343391 Skin Cancer and Aesthetic Surgery, P.C. Dermatology 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 2011-06-18
1174814735 Reason Wilken Dermatology 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 2011-04-29
1760658033 Advanced Dermatology PC Dermatology 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 2008-05-06
1255535993 Weill Medical College of Cornell University Dermatology 1305 York Ave., 9th Floor, New York, NY 10021-4870 2007-06-14
1336291657 Michael Jonathan Albom Dermatology 33 E 70th St, 1f, New York, NY 10021-4941 2007-01-17
1386719425 Ronald R Brancaccio Md & Peter Saitta Do PC Dermatology 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 2006-11-22
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City MONROE
Zip Code 10950

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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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