RUSSAK DERMATOLOGY PC (NPI# 1487992871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487992871 |
Entity Type | Organization |
Organization Name | RUSSAK DERMATOLOGY PC |
Practice Address |
115 E 57th St 12th Floor New York NY 10022-2049 |
Practice Telephone | 2126845964 |
Mailing Telephone | 2126845964 |
Enumeration Date | 2013-01-21 |
Last Update Date | 2013-01-21 |
Authorized Official Name | JULIE E RUSSAK (OWNER) |
Authorized Official Telephone | 2126845964 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
249307-1 | NY | Ambulatory Health Care Facilities |
Street Address |
115 E 57TH ST 12TH FLOOR |
City | NEW YORK |
State | NY |
Zip Code | 10022-2049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174522569 | Joseph B Felder | Internal Medicine | 115 E 57th St, Ste. 510, New York, NY 10022-2049 | 2005-07-18 |
1912445859 | Generation Next Fertility Pllc | Obstetrics & Gynecology | 115 E 57th St, Suite 500, New York, NY 10022-2049 | 2017-02-10 |
1366994626 | Erica Hershey Jaffe | Marriage & Family Therapist | 115 E 57th St, Suite 1540, New York, NY 10022-2049 | 2016-11-02 |
1144771940 | Christopher Mooney Lcsw P.C. | Social Worker | 115 E 57th St, Suite 1540, New York, NY 10022-2049 | 2016-10-18 |
1598219248 | Annelie Christina Roding | Physician Assistant | 115 E 57th St, 1450, New York, NY 10022-2049 | 2016-08-11 |
1336502889 | Keri Peterson Md PC | Internal Medicine | 115 E 57th St, Suite 510, New York, NY 10022-2049 | 2016-04-01 |
1538527346 | Manhattan Optimal Medical Wellness, Pllc | Family Medicine | 115 E 57th St, Suite 1450, New York, NY 10022-2049 | 2016-02-08 |
1255797676 | Bayside Pain Management | Pain Medicine | 115 E 57th St, New York, NY 10022-2049 | 2016-01-14 |
1215392881 | Active Chiropractic and Physical Therapy, Pllc | Chiropractor | 115 E 57th St, 520, New York, NY 10022-2049 | 2015-12-23 |
1679938757 | Wellness Integrative Chiropractic Acupuncture | Chiropractor | 115 E 57th St, Suite 520, New York, NY 10022-2049 | 2015-12-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
Find all providers in zip 10022 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1730704347 | Prestocorp | Clinic/Center | 315 W 36th St Fl 6, New York, NY 10018-6532 | 2020-06-09 |
1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
1760907794 | Andrew S. Gardner, M.d., P.C. | Clinic/Center | 345 E 37th St Ste 40g, New York, NY 10016-3256 | 2017-08-10 |
1558615955 | Enrique Hernandez Md Cardiac & Vascular Services Pllc | Clinic/Center | 665 W 182nd St, New York, NY 10033-3805 | 2012-11-07 |
1235427022 | Mary Ruth Buchness Md Dermatologist PC | Clinic/Center | 560 Broadway Rm 406, New York, NY 10012-3946 | 2011-07-14 |
1700173283 | Ns Medical, Pllc | Clinic/Center | 73 Spring St Rm 601, New York, NY 10012-5802 | 2011-07-05 |
1124314273 | Oasis Integrated Medical Health, PC | Clinic/Center | 139 Manhattan, New York, NY 10025 | 2011-06-27 |
1225324015 | Sandy Cheung, Do, Pllc | Clinic/Center | 18 East Broadway, Suite 503, New York, NY 10002 | 2011-06-21 |
1568628154 | Madison Pediatrics P.C. | Clinic/Center | 221 W. 138th St, New York, NY 10030-2102 | 2008-08-02 |
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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.