RUSSAK DERMATOLOGY PC


Address: 115 E 57th St, 12th Floor, New York, NY 10022-2049
Phone: 2126845964

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
249307-1 NY Ambulatory Health Care Facilities

Office Location

Street Address 115 E 57TH ST
12TH FLOOR
City NEW YORK
State NY
Zip Code 10022-2049

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730704347 Prestocorp Clinic/Center 315 W 36th St Fl 6, New York, NY 10018-6532 2020-06-09
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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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Competitor

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City NEW YORK
Zip Code 10022

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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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