DERMATOLOGY LASER GROUP, PLLC. (NPI# 1801258413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801258413 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY LASER GROUP, PLLC. |
| Practice Address |
200 W 57th St Suite 510 New York NY 10019-3211 |
| Practice Telephone | 2124448204 |
| Practice Fax Number | 6468616139 |
| Mailing Telephone | 2124448204 |
| Mailing Fax Number | 6468616139 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | ARASH AKHAVAN (OWNER) |
| Authorized Official Telephone | 2124448204 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NY | Other Service Providers |
| Street Address |
200 W 57TH ST SUITE 510 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112974 | Dominick Servedio | Audiologist | 200 W 57th St, Suite 910, New York, NY 10019-3211 | 2005-05-24 |
| 1619484706 | Monica Harilall | Physician Assistant | 200 W 57th St, New York, NY 10019-3211 | 2018-01-10 |
| 1255886198 | Jessica Berarducci | Nurse Practitioner | 200 W 57th St, Suite 200, New York, NY 10019-3211 | 2016-08-21 |
| 1033662473 | Asya Gutman | Physician Assistant | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2016-08-02 |
| 1730532557 | Life & Loss Mental Health Counseling, LLC | Counselor | 200 W 57th St, Suite 1310, New York, NY 10019-3211 | 2016-07-16 |
| 1801260682 | Hapworth Psychiatric Medical Pllc | Psychiatry & Neurology | 200 W 57th St, Suite 502, New York, NY 10019-3211 | 2015-11-17 |
| 1316319916 | Benjamin Hamburger | Psychologist | 200 W 57th St, 603, New York, NY 10019-3211 | 2015-10-22 |
| 1558732495 | New York Pain Consultants, LLC | Physical Medicine & Rehabilitation | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2015-10-19 |
| 1033580220 | Carnegie Oral & Maxillofacial Surgery, Pllc | Clinic/Center | 200 W 57th St, Suite 804, New York, NY 10019-3211 | 2015-10-13 |
| 1720473895 | Daniel Levin Md Pllc | Radiology | 200 W 57th St, Suite 401, New York, NY 10019-3211 | 2015-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
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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.