LIONEL G BERCOVITCH (NPI# 1962473314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962473314 |
| Entity Type | Individual |
| Full Name | LIONEL G BERCOVITCH |
| Credential | M.D. |
| Practice Address |
593 Eddy Street Apc-10 Providence RI 02903 |
| Practice Telephone | 4014447959 |
| Practice Fax Number | 4014447144 |
| Mailing Telephone | 4014447959 |
| Mailing Fax Number | 4014447144 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD05283 | RI | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
36392 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
593 EDDY STREET, APC-10 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902186323 | Nelli Lakis | Pathology | 593 Eddy Street, Apc 12, Providence, RI 02903 | 2011-08-17 |
| 1205942521 | Shoshana Landow | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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 |
|---|---|---|---|---|
| 1548685985 | Agape Medical Spa of Warwick, Inc | Dermatology | 49 Seekonk St Unit 3, Providence, RI 02906-5176 | 2014-02-21 |
| 1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
| 1720044134 | Abrar A Qureshi | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903 | 2006-04-25 |
| 1225037377 | Elizabeth Ann Welch | Dermatology | 1287 N Main St, Providence, RI 02904-1856 | 2005-07-20 |
| 1255337671 | Stephen Ernest Glinick | Dermatology | 593 Eddy St Bldg Apc -10, Providence, RI 02903-4923 | 2005-06-21 |
| 1538715990 | Alexandra Leonard | Dermatology | 593 Eddy St, Providence, RI 02903-4923 | 2019-08-12 |
| 1568029957 | Cbm Derm LLC | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332-9860 | 2019-05-22 |
| 1659831204 | Eric Jie Yang | Dermatology | 593 Eddy St, Providence, RI 02903-4923 | 2019-03-20 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.