COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP (NPI# 1710987227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710987227 |
| Entity Type | Organization |
| Organization Name | COSMETIQUE DERMATOLOGY, LASER & PLASTIC SURGERY, LLP |
| Practice Address |
31 Northern Blvd Greenvale NY 11548-1320 |
| Practice Telephone | 5164849000 |
| Practice Fax Number | 5164847549 |
| Mailing Telephone | 5164849000 |
| Mailing Fax Number | 5164847549 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | DR. ROBERT H GOTKIN (PARTNER) |
| Authorized Official Telephone | 5164849000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 147060-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
146515 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
31 NORTHERN BLVD |
| City | GREENVALE |
| State | NY |
| Zip Code | 11548-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210677 | Robert H Gotkin | Plastic Surgery | 31 Northern Blvd, Greenvale, NY 11548-1320 | 2005-07-26 |
| 1467452979 | Deborah S Sarnoff | Dermatology | 31 Northern Blvd, Greenvale, NY 11548-1320 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
| 1164806535 | Catheryne Leon | Registered Nurse | 2200 Northern Blvd Ste 133, Greenvale, NY 11548 | 2015-07-16 |
| 1871888503 | George Cheriyan | Neuromusculoskeletal Medicine & OMM | 500 Northern Boulevard, Greenvale, NY 11548 | 2011-06-10 |
| 1144414079 | Suzy Young Choi | Registered Nurse | 12 Wellington Road, Greenvale, NY 11548 | 2007-09-04 |
| 1790983450 | Aleksander Shalshin | Internal Medicine | 9 Cedar Street, Greenvale, NY 11548 | 2007-07-04 |
| 1609394022 | Gabriella Paiotti | Speech-Language Pathologist | 720 Northern Boulevard, Brookville, NY 11548 | 2017-09-06 |
| 1659638708 | Jeremy Michael Liff | Internal Medicine | 2200 Northern Blvd, Suite 207, Greenvale, NY 11548 | 2012-04-13 |
| 1952531931 | Nicole M Ptak-yenchman | Dentist | 2200 Northern Blvd, Suite 107, Greenvale, NY 11548 | 2009-07-23 |
| 1053454934 | Punam Prabhakar | Psychiatry & Neurology | 2200 Northern Blvd, Suite 128, East Hills, NY 11548 | 2007-02-14 |
| 1063937142 | City Medical of Upper East Side, Pllc | Clinic/Center | 44 Glen Cove Rd, Greenvale, NY 11548-1003 | 2017-08-09 |
| Find all providers in zip 11548 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| 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/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452979 | Deborah S Sarnoff | Dermatology | 31 Northern Blvd, Greenvale, NY 11548-1320 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 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 |
| 1255415113 | The Center for Dermatologic Surgery of Monroe | Dermatology | 503 State Route 208, Monroe, NY 10950-1619 | 2006-10-25 |
| 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.