CHILDREN'S SKIN AND LASER, PC (NPI# 1265618532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265618532 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S SKIN AND LASER, PC |
| Other Organization Name | BROOKLYN DERMATOLOGY |
| Practice Address |
440 Atlantic Ave Ground Floor Brooklyn NY 11217-2143 |
| Practice Telephone | 7187975504 |
| Practice Fax Number | 7187975645 |
| Mailing Telephone | 7187975504 |
| Mailing Fax Number | 7187975645 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | DR. SOURAB PATRICK CHOUDHURY (PRESIDENT) |
| Authorized Official Telephone | 7187975504 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 226018 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
226018 | NY | Allopathic & Osteopathic Physicians |
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
226018 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brooklyn Dermatology | Doing Business As Name - Organization |
| Street Address |
440 ATLANTIC AVE GROUND FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346858958 | Victoria Lasala | Physician Assistant | 440 Atlantic Ave, Brooklyn, NY 11217-2143 | 2020-07-20 |
| 1407498124 | Christine Lam | Physician Assistant | 440 Atlantic Ave, Brooklyn, NY 11217-2143 | 2019-10-14 |
| 1700428653 | Brooke Allison Morton | Nurse Practitioner | 440 Atlantic Ave, Brooklyn, NY 11217-2143 | 2019-10-11 |
| 1265996532 | Yohana Shum | Physician Assistant | 440 Atlantic Ave, Brooklyn, NY 11217-2143 | 2019-01-30 |
| 1447799911 | Ashley Ping Wu | Registered Nurse | 440 Atlantic Ave, Brooklyn, NY 11217 | 2017-02-16 |
| 1225320872 | Anne Cahalan | Social Worker | 440 Atlantic Ave, Brooklyn, NY 11217-1704 | 2011-05-13 |
| 1679865752 | Amanda Standing | Social Worker | 440 Atlantic Ave, Brooklyn, NY 11217-1704 | 2011-05-09 |
| 1952556987 | Tara Susan Bottone | Speech-Language Pathologist | 440 Atlantic Ave, Brooklyn, NY 11217-1704 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1790254084 | Jessica Levy | Social Worker | 2-4 Nevins St., Brooklyn, NY 11217 | 2018-11-16 |
| 1700353638 | Karen Gibbons | Art Therapist | 280 Nevins St., Brooklyn, NY 11217 | 2018-10-29 |
| 1396227740 | Tanvi Dodia Acupuncture Pllc | Acupuncturist | 694 Sackett Street Apt 2, Brooklyn, NY 11217 | 2018-09-02 |
| 1437680873 | Cynthia Cater | Licensed Practical Nurse | 30 3rd Avenue Apt. 847, Brooklyn, NY 11217 | 2017-03-27 |
| 1427596857 | Edg Dental PC | Dentist | 31 Eighth Avenue,suite #1, Brooklyn, NY 11217 | 2017-02-06 |
| 1437506284 | Alternative Optometry for Vision Development P.C. | Optometrist | 40 8th Avenue, Brooklyn, NY 11217 | 2016-05-23 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1831579341 | Christine Lynn Viner | Student in an Organized Health Care Education/Training Program | 63a 7th Ave, Brooklyn, NY 11217 | 2015-06-01 |
| Find all providers in zip 11217 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004430 | Nanette B. Silverberg Md Pllc | Dermatology | 2839 Brighton 7th St, 1st Floor, Brooklyn, NY 11235-5203 | 2016-10-14 |
| 1093068611 | Steven M. Weissman, Md Pllc | Dermatology | 9413 Flatlands Ave, Suite 102 East, Brooklyn, NY 11236-3726 | 2012-10-19 |
| 1285648154 | Mmc Pediatrics Faculty Practice | Dermatology | 948 48th Street, Brooklyn, NY 11219 | 2006-07-28 |
| 1659328193 | University Physicians of Brooklyn, Inc. | Dermatology | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2006-05-30 |
| 1114911419 | Sharon A. Glick | Dermatology | 450 Clarkson Ave, Suite H, Brooklyn, NY 11203-2056 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427492081 | Julia Klein Gittler | Dermatology | 1250 Waters Pl Fl 11, Bronx, NY 10461-2720 | 2013-04-24 |
| 1922371558 | Mitchell J. Mandel, M.d., P.C. | Dermatology | 1 Polo Dr, Old Westbury, NY 11568-1039 | 2012-02-13 |
| 1669732467 | Elizabeth Rose Ghazi | Dermatology | 240 E 38th St, Floor 11- Nyu Medical Center, New York, NY 10016-2708 | 2012-05-25 |
| 1235429341 | Laura Englander Levin | Dermatology | 130 E 67th St, New York, NY 10065-6136 | 2011-04-10 |
| 1639495732 | Manhattan Dermatology and Cosmetics Pllc | Dermatology | 820 2nd Ave, Suite 3a, New York, NY 10017 | 2010-04-14 |
| 1982931804 | Leonard Kristal, M. D. P. C. | Dermatology | 2001 Marcus Ave, Suite S 40, New Hyde Park, NY 11042-1011 | 2009-11-13 |
| 1548490865 | Alexis Weymann Perlmutter | Dermatology | 2508 Western Ave, Altamont, NY 12009-9485 | 2009-07-21 |
| 1477720977 | Brook Elan Tlougan | Dermatology | 2 Overhill Rd, Scarsdale, NY 10583-5323 | 2008-05-14 |
| 1598893851 | Robert Hayman | Dermatology | 2001 Marcus Ave, Suite S40, New Hyde Park, NY 11042-1011 | 2007-03-01 |
| 1871533810 | Leonard Kristal | Dermatology | 181 N Belle Mead Rd, East Setauket, NY 11733-3495 | 2006-06-07 |
| Find all providers with the same taxonomy | ||||
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| 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.