LICH FACULTY PRACTICE (NPI# 1740301779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740301779 |
| Entity Type | Organization |
| Organization Name | LICH FACULTY PRACTICE |
| Practice Address |
339 Hicks St Brooklyn NY 11201-5509 |
| Mailing Address |
160 Water St 20th Floor New York NY 10038-4922 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 7187801000 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHEN SCHWARTZ (FINANCE AVP) |
| Authorized Official Telephone | 2125238363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326375510 | Lich Faculty Practice | Urology | 339 Hicks St, 7th Floor, Brooklyn, NY 11201-5509 | 2009-11-09 |
| 1487988044 | Lich Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1598999195 | Lich Faculty Practice | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Henry St, Brooklyn, NY 11201-6001 | 2009-05-11 |
| 1841457967 | Lich Faculty Practice | Psychiatry & Neurology | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2008-05-16 |
| 1982888632 | Lich Faculty Practice | Dermatology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1790969442 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1174707822 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1346424090 | Lich Faculty Practice | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1255515904 | Lich Faculty Practice | Otolaryngology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| 1437333184 | Lich Faculty Practice | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2007-12-18 |
| Street Address |
339 HICKS ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901679 | Ciril J Godec | Urology | 339 Hicks St, Fl 7, Brooklyn, NY 11201-5509 | 2005-06-10 |
| 1376985069 | Parul Patel | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-07-23 |
| 1124368402 | Sonia A D'amelio Raymond | Pharmacist | 339 Hicks St, Brooklyn, NY 11201-5509 | 2013-02-22 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| 1184983215 | Jonathan Shih-chen Kung | Internal Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-05-09 |
| 1861759169 | Hyoung Kyu Oh | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-04-12 |
| 1295009926 | Rose Suzette Bristol | Physician Assistant | 339 Hicks St, 3rd Floor Fuller, Brooklyn, NY 11201-5509 | 2012-02-27 |
| 1386917383 | Pearline Mentis Thompson | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-02-22 |
| 1720374986 | Ammar Mahmoud | Obstetrics & Gynecology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-06-24 |
| 1205129459 | Simran Kaur Mann | Internal Medicine | 339 Hicks St, Dept of Internal Medicine, Brooklyn, NY 11201-5509 | 2011-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144684614 | Meagan Sara Keefe | Dermatology | 32 Court St Ste 302, Brooklyn, NY 11201-4408 | 2016-04-11 |
| 1215331228 | Centurion Dermatology PC | Dermatology | 6811 Fort Hamilton Parkway, Brooklyn, NY 11219 | 2014-10-20 |
| 1215349394 | Gladstein Medical Care PC | Dermatology | 1946 Coney Island Ave, Suite 3, Brooklyn, NY 11223-2329 | 2014-05-23 |
| 1578829198 | Sameer Bashey | Dermatology | 387 6th Ave, Brooklyn, NY 11215-3309 | 2012-04-09 |
| 1588938807 | Rachel Rubinstein | Dermatology | 1476 54th St, Brooklyn, NY 11219-4227 | 2012-03-05 |
| 1861775462 | Daniel J Tanner | Dermatology | 1401 55 Street, 5b, Brooklyn, NY 11219 | 2011-09-21 |
| 1639485469 | Aln Medical PC | Dermatology | 7819 Bay Pkwy, Brooklyn, NY 11214-1507 | 2010-08-31 |
| 1053622464 | Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Dermatology | 1717 86 St, Brooklyn, NY 11214-2817 | 2010-06-30 |
| 1083934087 | Karen Laura Hammerman | Dermatology | 2408 Ocean Ave, Brooklyn, NY 11229-3565 | 2010-06-02 |
| 1073740460 | Irene Josephine Vergilis-kalner | Dermatology | 2727 Ocean Pkwy Ste L1, Brooklyn, NY 11235-7848 | 2009-06-12 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on LICH FACULTY PRACTICE.
| 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.